ArticleAnnals of surgical oncology2018
Identification of the Thoracic Duct Using Indocyanine Green During Cervical Lymphadenectomy.
Article in Annals of surgical oncology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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Who cites it
20 citing papers in PubMed, 37 citations in OpenAlex.
- Intraoperative indocyanine green (ICG) fluorescence to assess mucosal integrity during laparoscopic Heller-Dor surgery: a pilot randomized study.Updates in surgery · 2026Article
- Real-time thoracic duct visualization in lung cancer surgery: feasibility of indocyanine green fluorescence imaging via inguinal lymph node injection.Journal of thoracic disease · 2026Article
- Indocyanine green-assisted chyle leak identification and ligation after left carotid-subclavian bypass: a case report.Journal of surgical case reports · 2026Article
- Analysis of chylous fistula sites and prevention of postoperative chylothorax in right lung cancer surgery using fluorescence thoracoscopy.World journal of surgical oncology · 2026Article
- Left Cervical Approach for Unrecognized Proximal Tracheoesophageal Fistula in an Adolescent following Neonatal Esophageal Atresia Repair: A Case Report.Surgical case reports · 2026Article
- Real-Time Fluorescence Imaging for Thoracic Duct Identification during Oesophagectomy: A Systematic Review of the Literature.Journal of chest surgery · 2025Review
- Thoracic duct identification using three-dimensional thoracoscope versus indocyanine green fluorescence during minimally invasive esophagectomy: a retrospective cohort study.Journal of thoracic disease · 2024Article
- Thoracic duct identification with indocyanine green fluorescence to prevent chyle leaks during minimally invasive esophagectomy.Cancer reports (Hoboken, N.J.) · 2024Article
- Chyle leak after head and neck surgeries: a comprehensive review of diagnosis and management strategies.Journal of the Korean Association of Oral and Maxillofacial Surgeons · 2024Review
- Application of near-infrared fluorescence imaging with indocyanine green in mediastinal surgery.JTCVS techniques · 2023Article
- Impact of fluorescent thoracic duct lymphography via intranodal approach in minimal access esophageal cancer surgery.Langenbeck's archives of surgery · 2023Article
- Review
- Optical diagnostic imaging and therapy for thyroid cancer.Materials today. Bio · 2022Review
- [ICG lymph node mapping in cancer surgery of the upper gastrointestinal tract].Chirurgie (Heidelberg, Germany) · 2022Review
- Thoracic Duct Lymphography by Near-Infrared Indocyanine Green Fluorescence imaging in Thoracic Surgery. A Review.Indian journal of surgical oncology · 2022Review
- Embolization or disruption of thoracic duct and cisterna chyli leaks post oesophageal cancer surgery should be first line management for ECCG-defined type III chyle fistulae.Irish journal of medical science · 2021Article
- Review
- In Vivo Visualization of the Pericardium Meridian with Fluorescent Dyes.Evidence-based complementary and alternative medicine : eCAM · 2021Article
- Thoracic duct identification with indocyanine green fluorescence during minimally invasive esophagectomy with patient in prone position.Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus · 2020Article
- Fluorescence Guided Cholecystectomy by a Single Group: Initial 47 Procedures Experience in Mexico.JSLS : Journal of the Society of Laparoendoscopic SurgeonsArticle
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundInjury to the thoracic duct (TD) is the most common complication after a left lateral neck dissection, and it carries a high degree of morbidity. Currently, no routine diagnostic imaging is used to assist with TD identification intraoperatively. This report describes the first clinical experience with lymphangiography using indocyanine green (ICG) during lateral neck dissections.
methodsIn six patients undergoing left lateral neck dissection (levels 2-4) for either thyroid cancer or melanoma, 2.5-5 mg of ICG was injected in the dorsum of the left foot 15 min before imaging. Intraoperative imaging was performed with a hand-held near infrared (NIR) camera (Hamamatsu, PDE-Neo, Hamamatsu City, Japan).
resultsIn five patients, the TD was visualized using NIR fluorescence, with a time of 15-90 min from injection to identification. Imaging was optimized by positioning the camera at the angle of the mandible and pointing into the space below the clavicle. No adverse reactions from the ICG injection occurred, and the time required for imaging was 5-10 min. No intraoperative TD injury was identified, and no chyle leak occurred postoperatively. For the one patient in whom the TD was not identified, it is unclear whether this was related to the timing of the injection or to duct obliteration from a prior dissection.
conclusionThis is the first described application of ICG lymphangiography to identify the thoracic duct during left lateral neck dissection. Identification of TD with ICG is technically feasible, simple to perform with NIR imaging, and safe, making it a potential important adjunct for the surgeon.
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