Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

How I Use the Fourth Arm in Robotic Pancreatoduodenectomy.

Journal of hepato-biliary-pancreatic sciences·2026
Same author

Robotic Transmesocolic Approach to the Left Retroperitoneum.

Annals of surgical oncology·2026
Same author

ASO Author Reflections: Tailored Robotic Transmesocolic Approach for Left Retroperitoneal Lesions.

Annals of surgical oncology·2026
Same author

ASO Visual Abstract: Longitudinal Symptom Recovery After Pancreatectomy-A Prospective Patient-Reported Outcomes Study using MDASI.

Annals of surgical oncology·2026
Same author

ASO Author Reflections: Defining Patient-Reported Symptom Recovery After Pancreatectomy.

Annals of surgical oncology·2026
Same author

ASO Author Reflections: Robotic Proximal Gastrectomy with Double-Tract Reconstruction and En-Bloc Distal Pancreatectomy: Balancing Oncologic Efficacy and Functional Preservation in Locally Advanced Gastroesophageal Junction Tumors.

Annals of surgical oncology·2026

Related Experiment Video

Updated: Dec 22, 2025

The Role of Indocyanine Green Fluorescence in Complex Laparoscopic Cholecystectomy Navigation
03:27

The Role of Indocyanine Green Fluorescence in Complex Laparoscopic Cholecystectomy Navigation

Published on: January 31, 2025

1.1K

Fluorescent-Image Guidance in Robotic Subtotal Gastrectomy.

Naruhiko Ikoma1, Brian D Badgwell2, Paul Mansfield2

  • 1Department of Surgical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA. nikoma@mdanderson.org.

Annals of Surgical Oncology
|May 9, 2020
PubMed
Summary

Fluorescent imaging enhances robotic gastrectomy by improving lesion localization, lymph node mapping, and tissue perfusion assessment. This technology offers valuable intraoperative guidance for safer surgical procedures.

More Related Videos

Robotic Left Hepatectomy using Indocyanine Green Fluorescence Imaging for an Intrahepatic Complex Biliary Cyst
11:03

Robotic Left Hepatectomy using Indocyanine Green Fluorescence Imaging for an Intrahepatic Complex Biliary Cyst

Published on: June 24, 2022

6.1K
Fluorescent Laparoscopic Central Hepatectomy for Liver Cancer Using Indocyanine Green Negative Staining
03:23

Fluorescent Laparoscopic Central Hepatectomy for Liver Cancer Using Indocyanine Green Negative Staining

Published on: March 17, 2023

1.2K

Related Experiment Videos

Last Updated: Dec 22, 2025

The Role of Indocyanine Green Fluorescence in Complex Laparoscopic Cholecystectomy Navigation
03:27

The Role of Indocyanine Green Fluorescence in Complex Laparoscopic Cholecystectomy Navigation

Published on: January 31, 2025

1.1K
Robotic Left Hepatectomy using Indocyanine Green Fluorescence Imaging for an Intrahepatic Complex Biliary Cyst
11:03

Robotic Left Hepatectomy using Indocyanine Green Fluorescence Imaging for an Intrahepatic Complex Biliary Cyst

Published on: June 24, 2022

6.1K
Fluorescent Laparoscopic Central Hepatectomy for Liver Cancer Using Indocyanine Green Negative Staining
03:23

Fluorescent Laparoscopic Central Hepatectomy for Liver Cancer Using Indocyanine Green Negative Staining

Published on: March 17, 2023

1.2K

Area of Science:

  • Surgical Oncology
  • Minimally Invasive Surgery
  • Medical Imaging

Background:

  • Robotic surgery offers advantages but lacks tactile feedback, potentially impacting safety.
  • Fluorescent imaging, integrated into systems like da Vinci, addresses this limitation.
  • Indocyanine green (ICG) is a fluorescent dye used for various intraoperative imaging applications.

Purpose of the Study:

  • To demonstrate the utility of fluorescent-image guidance in robotic subtotal gastrectomy.
  • To highlight how ICG enhances visualization of critical surgical structures and processes.

Main Methods:

  • Peritumoral injection of indocyanine green (ICG) for primary tumor localization.
  • ICG visualization of sentinel lymphatic flow to guide lymph node dissection extent.
  • Intravenous ICG injection for assessing remnant stomach tissue perfusion.
  • Fluorescent angiography using ICG to visualize the jejunal arterial arcade.

Main Results:

  • ICG successfully localized the primary lesion.
  • Sentinel lymph flow was visualized, aiding dissection guidance.
  • Adequate tissue perfusion of the gastric remnant was confirmed.
  • Jejunal arterial arcade visualization was achieved via fluorescent angiography.

Conclusions:

  • Fluorescent-image guidance provides crucial intraoperative information for robotic subtotal gastrectomy.
  • This technology supports enhanced surgical techniques and potentially improves patient safety.
  • Further research is necessary to fully validate the benefits of fluorescent-image guidance in robotic surgery.