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Updated: Sep 1, 2025

Multimodality Diagnosis of Mesenteric Ischemia

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Published on: July 21, 2023

Mapping the Mesentery Using ICG.

Manish Chand¹, Meara Dean²

¹Wellcome/EPSRC Centre for Interventional and Surgical Sciences (WEISS), University College London, London, United Kingdom.

Clinics in Colon and Rectal Surgery

|August 15, 2022

Summary

This summary is machine-generated.

Indocyanine green (ICG) fluorescent imaging visualizes colorectal cancer lymphatics and blood flow. This economical technique aids surgeons in identifying lymph nodes and metastases for complete lymphadenectomy.

Keywords:

ICG colorectal cancer indocyanine green fluorescent metastatic lymph nodes sentinel lymph nodes

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Area of Science:

Surgical Oncology
Medical Imaging

Background:

Indocyanine green (ICG) fluorescent imaging is established for assessing intraoperative colonic blood flow.
Its application has broadened to visualize mesenteric lymphatic drainage in cancer resections.

Purpose of the Study:

To evaluate the expanded use of ICG fluorescent imaging in colorectal cancer surgery.
To assess its capability in mapping mesenteric lymphatics and blood flow for improved surgical guidance.

Main Methods:

Intraoperative application of Indocyanine green (ICG) for fluorescent imaging.
Real-time visualization of lymph nodes, lymphatic vessels, and blood flow within the mesentery.

Main Results:

ICG enables real-time visualization of lymphatics and lymph nodes, including sentinel, lateral sidewall, and metastatic nodes.
The technique effectively detects peritoneal metastases.
It provides a comprehensive map of mesenteric lymphatics and blood flow.

Conclusions:

ICG fluorescent imaging offers an economical and user-friendly method for intraoperative assessment in colorectal cancer surgery.
This technique has the potential to enhance surgical precision by ensuring complete lymphadenectomy.