Intraoperative Icg Fluorescence
Intraoperative Icg Fluorescence - Related Videos
06:37
Multispectral Real-time Fluorescence Imaging for Intraoperative Detection of the Sentinel Lymph Node in Gynecologic Oncology
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Cited by 41 •
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Fluorescence imaging is a promising innovative modality for image-guided surgery in surgical oncology. In this video we describe the technical procedure for detection of the sentinel lymph node using fluorescence imaging as showcased in gynecologic oncologicy. A multispectral fluorescence camera system, together with the fluorescent agent indocyanine green, is applied.
09:36
The Assessment of Lymphatic Drainage Using ICG Near-Infrared Imaging and Ultrasound After Fracture
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2026
This protocol assesses lymphatic drainage after fracture by combining indocyanine green(ICG) near-infrared imaging with ultrasound to quantify plantar ICG clearance and popliteal lymph node enlargement in mice.
10:31
Intraoperative Gastroscopy for Tumor Localization in Laparoscopic Surgery for Gastric Adenocarcinoma
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Cited by 12 •
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In early gastric cancer, the aim of surgery is to precisely remove the distal stomach including the primary tumor. To do this, accurate localization of the tumor is crucial, especially in totally laparoscopic surgery. This protocol describes a procedure for intraoperative gastroscopy in totally laparoscopic subtotal gastrectomy.
05:53
Intraoperative Ultrasound in Spinal Surgery
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2022
Here, we present a protocol on the use of intraoperative ultrasound in spinal surgery, particularly in cases of intradural lesions and lesions in the ventral spinal canal when using a posterior approach.
07:48
Intraoperative Video Consultation Following Bile Duct Transection Facilitates Direct OR Transfer for Robotic Hepaticojejunostomy at Tertiary Center
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2026
Intraoperative video consultation expedites and improves surgical care. Here, we present a case where intraoperative video consultation between a rural hospital and an academic hepatobiliary surgeon facilitated immediate diagnosis of bile duct transection during laparoscopic cholecystectomy, direct to operating room transfer between centers, and injury repair with robotic-assisted Roux-en-Y hepaticojejunostomy.
FAQs
Indocyanine green emits near-infrared light after illumination because it binds plasma proteins. Specialized cameras detect this emitted signal and convert it into a visual display that can be interpreted during the operation. Because imaging occurs while surgery is underway, the technique supplies dynamic rather than delayed information about structures and tissue behavior.
Plasma-protein binding enables indocyanine green to produce a detectable near-infrared fluorescent signal after illumination. That signal can then be captured by specialized imaging equipment and displayed for the surgical team. This mechanism supports visualization of circulation-related information, including blood flow and tissue perfusion, while the procedure is in progress.
Intravenous administration introduces indocyanine green through the circulation, whereas local administration places it at a selected operative region. Using either route allows the imaging approach to be adapted to the information being sought. In both cases, specialized illumination and camera systems detect the resulting fluorescence for real-time surgical visualization.
The workflow requires illumination that excites the dye, together with a specialized camera capable of detecting near-infrared emission. The camera presents the signal visually during the operation, allowing the surgical team to examine blood flow, tissue perfusion, lymphatic drainage, or selected anatomical structures without ionizing radiation.
Its applications center on decisions where visualizing circulation or anatomy matters. Surgeons can assess organ and tissue viability, identify vessels and bile ducts, map lymphatic drainage, and guide tumor or reconstructive procedures. These uses make the method relevant when operative planning must incorporate immediate information about perfusion, drainage, or anatomical location.
Unlike imaging that relies on ionizing radiation, intraoperative ICG fluorescence provides optical feedback during the operation without that form of radiation. Its value lies in showing changing blood flow, perfusion, or drainage as surgery proceeds, so clinicians can incorporate observed information into decisions about tissue viability and anatomical guidance in the operative setting.