Indocyanine green localization for laparoscopic duodenal web excision.

Area of Science:

• Surgical Innovation
• Medical Imaging
• Pediatric Surgery

Background:

• Duodenal webs cause partial or complete duodenal obstruction.
• Identifying the origin of duodenal webs during laparoscopic surgery can be difficult.
• Accurate localization is crucial for successful surgical excision.

Purpose of the Study:

• To evaluate the efficacy of intraduodenum indocyanine green (ICG) injection and near-infrared (NIR) light in localizing duodenal webs during laparoscopic surgery.
• To assess the feasibility of this technique for facilitating laparoscopic duodenal web excision.

Main Methods:

• ICG was injected into the duodenum via a nasogastric tube in a neonatal patient with a duodenal web.
• Fluorescence was visualized using a dual-mode (white light and NIR) camera system.
• Real-time localization of the duodenal web was achieved.

Main Results:

• Laparoscopic identification and excision of the duodenal web were successfully performed using ICG visualization under NIR light.
• The surgical procedure was completed without complications.
• The patient experienced favorable postoperative outcomes.

Conclusions:

• Intraduodenum ICG injection is a feasible and effective adjuvant for duodenal web localization during laparoscopic surgery.
• This technique enhances the precision of duodenal web identification compared to traditional methods.
• Improved localization leads to better surgical outcomes in patients with duodenal webs.