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Updated: Feb 4, 2026

Multispectral Real-time Fluorescence Imaging for Intraoperative Detection of the Sentinel Lymph Node in Gynecologic Oncology
Published on: October 20, 2010
The Role of Intraoperative Fluorescence Imaging During Esophagectomy
Simon R Turner1, Daniela R Molena2
1Division of Thoracic Surgery, University of Alberta, 416 CSC, 10240 Kingsway Avenue, Edmonton, Alberta, T5H 3V9, Canada.
Abstract:
Intraoperative fluorescence imaging (FI) with indocyanine green has several potential uses during esophagectomy. Intravascular injection for enhancing the visualization of conduit vascularity and assessing macro and microperfusion has the most literature support and may help reduce anastomotic leaks. Peritumoral injection has been reported for use in identifying sentinel nodes during lymphadenectomy and intralymphatic injection may be used to help preserve or ligate the thoracic duct. The authors' own technique of FI for conduit assessment is described. They routinely use this strategy to guide anastomosis placement and reduce leaks.
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