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INITIAL RESULTS OF THORACOSCOPIC ESOPHAGECTOMY WITH THE APPLICATION OF INDOCYANINE GREEN IN ASSESSING GASTRIC TUBE PERFUSION: EXPERIENCE IN 38 CASES
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Abstract
Objectives: To study the application of indocyanine green in evaluating perfusion imaging of gastric tubes for esophageal replacement and its results in thoracoscopic radical esophagectomy. Methods: A cross-sectional study on 38 patients applied indocyanine green in endoscopic surgery for esophageal cancer at 108 Military Central Hospital and Military Hospital 103 from 6/2022 to 12/2022. Results: The mean age of the patients: 59.4 ± 7.2 (32 - 70); 100% of the patients were male; ASA = 2 accounted for 73.7%, and ASA = 3 accounted for 26.3%. The average length of the gastric tube was 31.2 ± 1.7cm, the average width was 5.2 ± 0.3cm, the ICG infiltration time to the distal gastric tube was 56.2 ± 16.1 seconds; the speed ICG infiltration of the entire gastric tube was 1.5 ± 0.7 cm/seconds. There were 7 patients with distal gastric tube ischemia detected during clinical observation, while 9 patients with distal gastric tube anemia were detected by ICG. All 9 anemic patients had the anemia removed. Early results: Gastrointestinal feeding time: 6.9 ± 1.7 days; mortality rate: 2.6%, anastomosis: 5.3%; respiratory complications: 13.1%; gastric tube fistula: 5%; hoarseness after surgery: 10.5%; and postoperative hospital stay: 10.9 ± 2.5 days. Conclusion: The application of indocyanine green in thoracoscopic esophagectomy to assess gastric tube perfusion for early postoperative results is feasible and safe, and the rate of anastomosis complications is low.
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Keywords
Esophageal cancer, Esophagectomy, Indocyanine green
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