2023 World Conference on Lung Cancer (Posters)-EP14.01. Feasibility of Near-Infrared Fluorescence-Guided Robotic-Assisted Minimally Invasive Esophagectomy with Indocyanine Green Dye

EP14.01. Feasibility of Near-Infrared Fluorescence-Guided Robotic-Assisted Minimally Invasive Esophagectomy with Indocyanine Green Dye - PDF(Slides)

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The study evaluated the feasibility and safety of Near-Infrared Fluorescence-Guided Robotic-Assisted Minimally Invasive Esophagectomy (RAMIE) using indocyanine green dye (ICG) in the first 6 cases performed in Canada. RAMIE is a minimally invasive technique that utilizes the DaVinci XI robotic surgical platform, offering superior dexterity, 3D-vision, 7-degrees of freedom for range of motion, and near-infrared imaging for detection of blood vessels.<br /><br />The study enrolled patients with esophageal cancer who were candidates for minimally invasive esophagectomy. ICG was successfully used in all 6 cases, allowing for the detection of perfusion with a green hue and clear identification of areas of poor perfusion. The clinical outcomes of the procedure were also evaluated. The average procedure time was 455.33 minutes, there were no conversions to open surgery, and the median blood loss was 200 mL. The median length of stay was 8 days, and two patients (33.33%) experienced Grade IVa complications, including hemorrhagic shock and a tracheoesophageal fistula.<br /><br />The study concludes that NIF-guided RAMIE with ICG for esophageal cancer was feasible based on the high rate of successful operation completion, low rate of conversion to open surgery, and a rate of Grade IV adverse events consistent with published literature. RAMIE offers the advantages of a minimally invasive approach while providing adequate oncological outcomes. This technique has the potential to reduce postoperative morbidity and improve the quality of life for patients undergoing esophagectomy. Further research and trials are needed to validate these findings and assess the long-term outcomes of NIF-guided RAMIE with ICG.

Asset Subtitle

Yogita S. Patel

Meta Tag

Speaker Yogita S. Patel

Topic Mesothelioma, Thymoma & Other Thoracic Tumors

Keywords

Near-Infrared Fluorescence-Guided Robotic-Assisted Minimally Invasive Esophagectomy

RAMIE

indocyanine green dye

ICG

minimally invasive technique

DaVinci XI robotic surgical platform

near-infrared imaging

esophageal cancer

procedure outcomes

postoperative morbidity