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Published in: Journal of Cardiothoracic Surgery 1/2023

Open Access 01-12-2023 | Esophageal Diverticula | Case Report

Near-infrared fluorescence-assisted thoracoscopic diverticulectomy of esophageal diverticulum: a case report

Authors: Hao Xu, Tian Guan, Rongrong Fan, Fan Yang, Yun Li, Jian Zhou

Published in: Journal of Cardiothoracic Surgery | Issue 1/2023

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Abstract

Background

Esophageal diverticulum is a rare condition that requires treatment only when symptoms are present. Surgery has been considered to be the only curative option for symptomatic cases. The most popular procedure is diverticulectomy. Clear and intact exposure of the diverticulum’s neck is the basis for safe and effective diverticulectomy.

Case presentation

We herein report a case of a 57 year-old woman with an epiphrenic diverticulum. VATS diverticulectomy was scheduled. To better identify the diverticulum neck, we injected indocyanine green (ICG) into the diverticulum through the endoscopic channel, and the diverticulum wall and neck were clearly visible under near-infrared (NIR) fluorescence. With the help of this method, diverticulectomy was successfully performed.

Conclusion

This case shows that NIR fluorescence with ICG is safe, simple and reliable and can be used for diverticulectomy.
Literature
1.
go back to reference Tapias LF, Morse CR, Mathisen DJ, Gaissert HA, Wright CD, Allan JS, et al. Surgical management of esophageal epiphrenic diverticula: a transthoracic approach over four decades. Ann Thorac Surg. 2017;104(4):1123–30.CrossRefPubMed Tapias LF, Morse CR, Mathisen DJ, Gaissert HA, Wright CD, Allan JS, et al. Surgical management of esophageal epiphrenic diverticula: a transthoracic approach over four decades. Ann Thorac Surg. 2017;104(4):1123–30.CrossRefPubMed
2.
go back to reference Koyanagi K, Ozawa S, Tachimori Y. Minimally invasive esophagectomy performed with the patient in a prone position: a systematic review. Surg Today. 2016;46(3):275–84.CrossRefPubMed Koyanagi K, Ozawa S, Tachimori Y. Minimally invasive esophagectomy performed with the patient in a prone position: a systematic review. Surg Today. 2016;46(3):275–84.CrossRefPubMed
Metadata
Title
Near-infrared fluorescence-assisted thoracoscopic diverticulectomy of esophageal diverticulum: a case report
Authors
Hao Xu
Tian Guan
Rongrong Fan
Fan Yang
Yun Li
Jian Zhou
Publication date
01-12-2023
Publisher
BioMed Central
Published in
Journal of Cardiothoracic Surgery / Issue 1/2023
Electronic ISSN: 1749-8090
DOI
https://doi.org/10.1186/s13019-023-02142-3

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