The Use of Indocyanine Green (ICG) and Near-Infrared (NIR) Fluorescence-Guided Imaging in Gastric Cancer Surgery: A Narrative Review

Near-infrared fluorescence imaging with indocyanine green is an emerging technology gaining clinical relevance in the field of oncosurgery. In recent decades, it has also been applied in gastric cancer surgery, spreading among surgeons thanks to the diffusion of minimally invasive approaches and the...

Full description

Bibliographic Details
Main Authors: Francesco Belia, Alberto Biondi, Annamaria Agnes, Pietro Santocchi, Antonio Laurino, Laura Lorenzon, Roberto Pezzuto, Flavio Tirelli, Lorenzo Ferri, Domenico D’Ugo, Roberto Persiani
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-06-01
Series:Frontiers in Surgery
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fsurg.2022.880773/full
_version_ 1828204772152311808
author Francesco Belia
Alberto Biondi
Alberto Biondi
Annamaria Agnes
Annamaria Agnes
Pietro Santocchi
Antonio Laurino
Laura Lorenzon
Laura Lorenzon
Roberto Pezzuto
Flavio Tirelli
Flavio Tirelli
Lorenzo Ferri
Domenico D’Ugo
Domenico D’Ugo
Roberto Persiani
Roberto Persiani
author_facet Francesco Belia
Alberto Biondi
Alberto Biondi
Annamaria Agnes
Annamaria Agnes
Pietro Santocchi
Antonio Laurino
Laura Lorenzon
Laura Lorenzon
Roberto Pezzuto
Flavio Tirelli
Flavio Tirelli
Lorenzo Ferri
Domenico D’Ugo
Domenico D’Ugo
Roberto Persiani
Roberto Persiani
author_sort Francesco Belia
collection DOAJ
description Near-infrared fluorescence imaging with indocyanine green is an emerging technology gaining clinical relevance in the field of oncosurgery. In recent decades, it has also been applied in gastric cancer surgery, spreading among surgeons thanks to the diffusion of minimally invasive approaches and the related development of new optic tools. Its most relevant uses in gastric cancer surgery are sentinel node navigation surgery, lymph node mapping during lymphadenectomy, assessment of vascular anatomy, and assessment of anastomotic perfusion. There is still debate regarding the most effective application, but with relatively no collateral effects and without compromising the operative time, indocyanine green fluorescence imaging carved out a role for itself in gastric resections. This review aims to summarize the current indications and evidence for the use of this tool, including the relevant practical details such as dosages and times of administration.
first_indexed 2024-04-12T12:29:08Z
format Article
id doaj.art-d91e9ca2c8724667a72a7d184fca4fb7
institution Directory Open Access Journal
issn 2296-875X
language English
last_indexed 2024-04-12T12:29:08Z
publishDate 2022-06-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Surgery
spelling doaj.art-d91e9ca2c8724667a72a7d184fca4fb72022-12-22T03:33:05ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2022-06-01910.3389/fsurg.2022.880773880773The Use of Indocyanine Green (ICG) and Near-Infrared (NIR) Fluorescence-Guided Imaging in Gastric Cancer Surgery: A Narrative ReviewFrancesco Belia0Alberto Biondi1Alberto Biondi2Annamaria Agnes3Annamaria Agnes4Pietro Santocchi5Antonio Laurino6Laura Lorenzon7Laura Lorenzon8Roberto Pezzuto9Flavio Tirelli10Flavio Tirelli11Lorenzo Ferri12Domenico D’Ugo13Domenico D’Ugo14Roberto Persiani15Roberto Persiani16Università Cattolica del Sacro Cuore, Rome, ItalyUniversità Cattolica del Sacro Cuore, Rome, ItalyDipartimento Di Scienze Mediche E Chirurgiche, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, ItalyUniversità Cattolica del Sacro Cuore, Rome, ItalyDipartimento Di Scienze Mediche E Chirurgiche, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, ItalyUniversità Cattolica del Sacro Cuore, Rome, ItalyUniversità Cattolica del Sacro Cuore, Rome, ItalyUniversità Cattolica del Sacro Cuore, Rome, ItalyDipartimento Di Scienze Mediche E Chirurgiche, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, ItalyDipartimento Di Scienze Mediche E Chirurgiche, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, ItalyUniversità Cattolica del Sacro Cuore, Rome, ItalyDipartimento Di Scienze Mediche E Chirurgiche, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, ItalyUniversità Cattolica del Sacro Cuore, Rome, ItalyUniversità Cattolica del Sacro Cuore, Rome, ItalyDipartimento Di Scienze Mediche E Chirurgiche, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, ItalyUniversità Cattolica del Sacro Cuore, Rome, ItalyDipartimento Di Scienze Mediche E Chirurgiche, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, ItalyNear-infrared fluorescence imaging with indocyanine green is an emerging technology gaining clinical relevance in the field of oncosurgery. In recent decades, it has also been applied in gastric cancer surgery, spreading among surgeons thanks to the diffusion of minimally invasive approaches and the related development of new optic tools. Its most relevant uses in gastric cancer surgery are sentinel node navigation surgery, lymph node mapping during lymphadenectomy, assessment of vascular anatomy, and assessment of anastomotic perfusion. There is still debate regarding the most effective application, but with relatively no collateral effects and without compromising the operative time, indocyanine green fluorescence imaging carved out a role for itself in gastric resections. This review aims to summarize the current indications and evidence for the use of this tool, including the relevant practical details such as dosages and times of administration.https://www.frontiersin.org/articles/10.3389/fsurg.2022.880773/fullindocyanine GreenICGnear-infrared fluorescence imagingnear-infrarednirgastric cancer
spellingShingle Francesco Belia
Alberto Biondi
Alberto Biondi
Annamaria Agnes
Annamaria Agnes
Pietro Santocchi
Antonio Laurino
Laura Lorenzon
Laura Lorenzon
Roberto Pezzuto
Flavio Tirelli
Flavio Tirelli
Lorenzo Ferri
Domenico D’Ugo
Domenico D’Ugo
Roberto Persiani
Roberto Persiani
The Use of Indocyanine Green (ICG) and Near-Infrared (NIR) Fluorescence-Guided Imaging in Gastric Cancer Surgery: A Narrative Review
Frontiers in Surgery
indocyanine Green
ICG
near-infrared fluorescence imaging
near-infrared
nir
gastric cancer
title The Use of Indocyanine Green (ICG) and Near-Infrared (NIR) Fluorescence-Guided Imaging in Gastric Cancer Surgery: A Narrative Review
title_full The Use of Indocyanine Green (ICG) and Near-Infrared (NIR) Fluorescence-Guided Imaging in Gastric Cancer Surgery: A Narrative Review
title_fullStr The Use of Indocyanine Green (ICG) and Near-Infrared (NIR) Fluorescence-Guided Imaging in Gastric Cancer Surgery: A Narrative Review
title_full_unstemmed The Use of Indocyanine Green (ICG) and Near-Infrared (NIR) Fluorescence-Guided Imaging in Gastric Cancer Surgery: A Narrative Review
title_short The Use of Indocyanine Green (ICG) and Near-Infrared (NIR) Fluorescence-Guided Imaging in Gastric Cancer Surgery: A Narrative Review
title_sort use of indocyanine green icg and near infrared nir fluorescence guided imaging in gastric cancer surgery a narrative review
topic indocyanine Green
ICG
near-infrared fluorescence imaging
near-infrared
nir
gastric cancer
url https://www.frontiersin.org/articles/10.3389/fsurg.2022.880773/full
work_keys_str_mv AT francescobelia theuseofindocyaninegreenicgandnearinfrarednirfluorescenceguidedimagingingastriccancersurgeryanarrativereview
AT albertobiondi theuseofindocyaninegreenicgandnearinfrarednirfluorescenceguidedimagingingastriccancersurgeryanarrativereview
AT albertobiondi theuseofindocyaninegreenicgandnearinfrarednirfluorescenceguidedimagingingastriccancersurgeryanarrativereview
AT annamariaagnes theuseofindocyaninegreenicgandnearinfrarednirfluorescenceguidedimagingingastriccancersurgeryanarrativereview
AT annamariaagnes theuseofindocyaninegreenicgandnearinfrarednirfluorescenceguidedimagingingastriccancersurgeryanarrativereview
AT pietrosantocchi theuseofindocyaninegreenicgandnearinfrarednirfluorescenceguidedimagingingastriccancersurgeryanarrativereview
AT antoniolaurino theuseofindocyaninegreenicgandnearinfrarednirfluorescenceguidedimagingingastriccancersurgeryanarrativereview
AT lauralorenzon theuseofindocyaninegreenicgandnearinfrarednirfluorescenceguidedimagingingastriccancersurgeryanarrativereview
AT lauralorenzon theuseofindocyaninegreenicgandnearinfrarednirfluorescenceguidedimagingingastriccancersurgeryanarrativereview
AT robertopezzuto theuseofindocyaninegreenicgandnearinfrarednirfluorescenceguidedimagingingastriccancersurgeryanarrativereview
AT flaviotirelli theuseofindocyaninegreenicgandnearinfrarednirfluorescenceguidedimagingingastriccancersurgeryanarrativereview
AT flaviotirelli theuseofindocyaninegreenicgandnearinfrarednirfluorescenceguidedimagingingastriccancersurgeryanarrativereview
AT lorenzoferri theuseofindocyaninegreenicgandnearinfrarednirfluorescenceguidedimagingingastriccancersurgeryanarrativereview
AT domenicodugo theuseofindocyaninegreenicgandnearinfrarednirfluorescenceguidedimagingingastriccancersurgeryanarrativereview
AT domenicodugo theuseofindocyaninegreenicgandnearinfrarednirfluorescenceguidedimagingingastriccancersurgeryanarrativereview
AT robertopersiani theuseofindocyaninegreenicgandnearinfrarednirfluorescenceguidedimagingingastriccancersurgeryanarrativereview
AT robertopersiani theuseofindocyaninegreenicgandnearinfrarednirfluorescenceguidedimagingingastriccancersurgeryanarrativereview
AT francescobelia useofindocyaninegreenicgandnearinfrarednirfluorescenceguidedimagingingastriccancersurgeryanarrativereview
AT albertobiondi useofindocyaninegreenicgandnearinfrarednirfluorescenceguidedimagingingastriccancersurgeryanarrativereview
AT albertobiondi useofindocyaninegreenicgandnearinfrarednirfluorescenceguidedimagingingastriccancersurgeryanarrativereview
AT annamariaagnes useofindocyaninegreenicgandnearinfrarednirfluorescenceguidedimagingingastriccancersurgeryanarrativereview
AT annamariaagnes useofindocyaninegreenicgandnearinfrarednirfluorescenceguidedimagingingastriccancersurgeryanarrativereview
AT pietrosantocchi useofindocyaninegreenicgandnearinfrarednirfluorescenceguidedimagingingastriccancersurgeryanarrativereview
AT antoniolaurino useofindocyaninegreenicgandnearinfrarednirfluorescenceguidedimagingingastriccancersurgeryanarrativereview
AT lauralorenzon useofindocyaninegreenicgandnearinfrarednirfluorescenceguidedimagingingastriccancersurgeryanarrativereview
AT lauralorenzon useofindocyaninegreenicgandnearinfrarednirfluorescenceguidedimagingingastriccancersurgeryanarrativereview
AT robertopezzuto useofindocyaninegreenicgandnearinfrarednirfluorescenceguidedimagingingastriccancersurgeryanarrativereview
AT flaviotirelli useofindocyaninegreenicgandnearinfrarednirfluorescenceguidedimagingingastriccancersurgeryanarrativereview
AT flaviotirelli useofindocyaninegreenicgandnearinfrarednirfluorescenceguidedimagingingastriccancersurgeryanarrativereview
AT lorenzoferri useofindocyaninegreenicgandnearinfrarednirfluorescenceguidedimagingingastriccancersurgeryanarrativereview
AT domenicodugo useofindocyaninegreenicgandnearinfrarednirfluorescenceguidedimagingingastriccancersurgeryanarrativereview
AT domenicodugo useofindocyaninegreenicgandnearinfrarednirfluorescenceguidedimagingingastriccancersurgeryanarrativereview
AT robertopersiani useofindocyaninegreenicgandnearinfrarednirfluorescenceguidedimagingingastriccancersurgeryanarrativereview
AT robertopersiani useofindocyaninegreenicgandnearinfrarednirfluorescenceguidedimagingingastriccancersurgeryanarrativereview