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Indocyanine Green Fluorescence-Guided Gastric Perfusion in Advanced Gastric Cancer: Real-Time Precision Surgery

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  • Título del video: Indocyanine Green Fluorescence-Guided Gastric Perfusion in Advanced Gastric Cancer: Real-Time Precision Surgery
  • Speakers: Juan Paulo Benítez MD, Álvaro Andrés Árias MD, Daniel Francisco Penagos MD, Esteban Briceño MD, Steven Loaiza MD, Santiago Zuluaga MD, Mauricio Zuluaga MD, and Uriel Cardona MD
  • Descripción: Indocyanine green (ICG) fluorescence-guided gastric perfusion is an advanced imaging technique used during gastric cancer surgery to assess real-time blood flow and tissue perfusion. By using near-infrared fluorescence, surgeons can better visualize vascularization, improve precision during tumor resection, and support safer anastomoses. This technology enhances intraoperative decision-making and may help reduce postoperative complications in patients with advanced gastric cancer.
  • Youtube/Vimeo link: https://youtu.be/FXrdyhPdisY
Indocyanine green (ICG) fluorescence-guided gastric perfusion is an advanced imaging technique used during gastric cancer surgery to assess real-time blood flow and tissue perfusion. By using near-infrared fluorescence, surgeons can better visualize vascularization, improve precision during tumor resection, and support safer anastomoses. This technology enhances intraoperative decision-making and may help reduce postoperative complications in patients with advanced gastric cancer.  

ICG-Guided Procedure with Fluorescence Imaging

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  • Título del video: ICG-Guided Procedure with Fluorescence Imaging
  • Speakers: Jeroen Lamoraal Umbgrove, MD
  • Descripción: This video presents the application of indocyanine green (ICG) fluorescence imaging to enhance intraoperative visualization during a surgical procedure. The technique enables real-time identification of anatomical structures, vascularization, and tissue perfusion, supporting more precise and informed surgical decisions. By integrating fluorescence guidance, surgeons can improve accuracy, reduce the risk of complications, and optimize overall outcomes. The video highlights key steps of the procedure and demonstrates how fluorescence imaging can be effectively incorporated into routine practice, particularly in minimally invasive approaches where visual clarity is essential for safe and efficient dissection.
  • Youtube/Vimeo link: https://youtu.be/3fiS9BQrEZk

EMEA ICG Dosing for Laparoscopic Sleeve Gastrectomy

  • Intro:

    Indocyanine green (ICG) fluorescence imaging is used in laparoscopic sleeve gastrectomy to evaluate gastric perfusion and support intraoperative decision-making. By providing real-time visualization of blood supply, this technique helps surgeons identify critical vascular structures and optimize staple line integrity.

    In the EMEA region, standardized dosing and timing protocols aim to improve consistency in fluorescence imaging and enhance surgical safety. Although its routine use in bariatric surgery remains under evaluation, ICG has shown potential in assessing tissue perfusion and reducing ischemic complications.

  • Sección:
    • Tabla:
      • Columna1:

        Region of interest

        , Contenido:

        Proximal stomach

      • Columna1:

        Dose

        , Contenido:

        5 -15 mg bolus

      • Columna1:

        Route

        , Contenido:

        I.V.*

      • Columna1:

        Injection time

        , Contenido:

        Intraoperatively

      • Columna1:

        First ICG detection

        , Contenido:

        30-60 sec

      • Columna1:

        ICG Duration

        , Contenido:

        3-4 min

      • Columna1:

        Camera requirements

        , Contenido:

        Laparoscope, NIR light source camera

      • Columna1:

        References  (full ref details at end of this guide doc)

        , Contenido:

        3. 2018, Ortega et al.,

Comparison of ICG Fluorescence Dye vs. White Light in identifying the Biliary Anatomy in Laparoscopic Cholecystectomy: A 3 year Retrospective study in Asian Hospital and Medical Center

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  • Título del video: Comparison of ICG Fluorescence Dye vs. White Light in identifying the Biliary Anatomy in Laparoscopic Cholecystectomy: A 3 year Retrospective study in Asian Hospital and Medical Center
  • Chapter: Asia-Pacific Chapter
  • Youtube/Vimeo link: https://vimeo.com/1107405190?share=copy#t=1.048

First Experiences using ICG

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  • Título del video: First Experiences using ICG
  • Chapter: LATAM CHAPTER
  • Speakers: Emmy Arrue, Patricia Chacón, Federico Huete Echandi
  • Moderators: Homero Rodriguez
  • Youtube/Vimeo link: https://vimeo.com/894936259?share=copy
  • Date: 2023-12-14
First Experiences using ICG LATAM CHAPTER  

Primeras Experiencias en el uso de ICG

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  • Título del video: Primeras Experiencias en el uso de ICG
  • Chapter: LATAM CHAPTER
  • Speakers: Emmy Arrue, Patricia Chacón, Federico Huete Echandi
  • Moderators: Homero Rodriguez
  • Youtube/Vimeo link: https://vimeo.com/894934087?share=copy
  • Date: 2023-12-14
Primeras Experiencias en el uso de ICG Emmy Arrue, Patricia Chacón, Federico Huete Echandi Homero Rodriguez LATAM CHAPTER    

Use of ICG Lymphangiography for Identification of a Postop Inguinal Lymphatic Leak

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  • Congreso: 9th Annual Meeting - Miami 2024
  • Título del video: Use of ICG Lymphangiography for Identification of a Postop Inguinal Lymphatic Leak
  • Speakers: Samuel Szomstein, MD
  • Youtube/Vimeo link: https://vimeo.com/923743111?share=copy
  • Date: 2024-02-25
Use of ICG Lymphangiography for Identification of a Postop Inguinal Lymphatic Leak Samuel Szomstein, MD 9th Annual ISFGS Meeting - Miami 2024

Cirugía Guiada por Fluorescencia: Barra de Video

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  • Título del video: Cirugía Guiada por Fluorescencia: Barra de Video
  • Chapter: LATAM CHAPTER
  • Speakers: Enrique Lanzarini
  • Descripción: Los cirujanos presentan una serie de videos basados en el campo de la cirugía guiada por fluorescencia.
  • Youtube/Vimeo link: https://www.youtube.com/watch?v=z514xpVUNsU&t=111s
  • Date: 2021-06-29
Cirugía Guiada por Fluorescencia: Barra de Video LATAM CHAPTER Enrique Lanzarini Los cirujanos presentan una serie de videos basados en el campo de la cirugía guiada por fluorescencia. 29-06-2021

What is the diagnostic accuracy of fluorescence-guided surgery for margin assessment in appendicular bone and soft tissue tumors?

  • Título completo del paper: What is the diagnostic accuracy of fluorescence-guided surgery for margin assessment in appendicular bone and soft tissue tumors? - A systematic review of clinical studies
  • Autores: Erhan Okay, Marcos R Gonzalez, Joseph O Werenski, Alisha Sodhi, Korhan Ozkan, Marcus Brookes, Maniram Ragbir, Kenneth Rankin, Anand Tn Kumar, Santiago A Lozano-Calderon
  • Fecha de publicacion: 2024-02-08
  • doi: https://doi.org/10.1016/j.suronc.2023.102030