Evidence map›Paper›PMID 41837011›Full record

ArticleInternational journal of surgery case reports2026

Intraoperative use of NIRF following iatrogenic injury and reconstruction of the right gastroepiploic artery during esophagectomy: a case report.

Louelle E van der Aa, Jan van Schaik, Henk H Hartgrink, Joost R van der Vorst

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Article in International journal of surgery case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Louelle E van der AaDepartment of Surgery, Leiden University Medical Center, Leiden, The Netherlands.ORCID https://orcid.org/0009-0006-9656-9307
Jan van SchaikDepartment of Surgery, Leiden University Medical Center, Leiden, The Netherlands.
Henk H HartgrinkDepartment of Surgery, Leiden University Medical Center, Leiden, The Netherlands.
Joost R van der VorstDepartment of Surgery, Leiden University Medical Center, Leiden, The Netherlands.ORCID https://orcid.org/0000-0002-0669-4272

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction and importance: Preservation of the right gastroepiploic artery is essential for adequate gastric conduit perfusion during esophagectomy, reducing ischemia-related complications. This case report uniquely demonstrates successful intraoperative reconstruction by using quantification of near-infrared fluorescence imaging, contributing objective insight into vascular salvage and perfusion assessment in complex esophageal surgery. Presentation of a case: A 48-year-old patient underwent a transthoracic McKeown esophagectomy with gastric conduit reconstruction for esophageal adenocarcinoma. During the procedure, iatrogenic injury to the right gastroepiploic artery occurred, necessitating direct vascular reconstruction. Intraoperative near-infrared fluorescence angiography was utilized both before and after the repair to evaluate and verify restoration of perfusion. Clinical discussion: Quantitative analysis of near-infrared fluorescence imaging showed improved perfusion parameters and correlated with a favorable clinical outcome. Despite an initial poor signal, the patient remained free of ischemia-related complications and was discharged on postoperative day 7. Conclusion: This case report highlights the potential of near-infrared fluorescence imaging to improve the outcome of management of injury of the right gastroepiploic artery during esophagectomy. It hereby supports its broader use in intraoperative decision-making during complex gastrointestinal surgery.

Indexed as

case reportesophagectomyfluorescence angiographygastric conduit ischemiaright gastroepiploic arteryvascular reconstruction

Identifiers

PMID41837011
PMCPMC12981809

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