Indocyanine Green (ICG) fluorescence angiography of gastric conduit after transhiatal thoracic esophagectomy with proximal gastrectomy for esophagogastric junction adenocarcinoma: A case report and initial experience at a tertiary government hospital in the Philippines

Abstract

Highlights • The stomach is a frequent choice for esophageal reconstruction due to its robust blood supply.• Surgical management of esophageal cancer is complex, not only from the standpoint of extirpation of the primary tumor and the regional lymph nodes, but also in regards to esophageal replacement to re-establish intestinal continuity.• The use of indocyanine green (ICG) fluorescence angiography is a feasible and promising adjunct to evaluate adequacy of perfusion of the gastric conduit for esophageal replacement.• ICG fluorescence angiography can aid in choosing the most appropriate site of anastomosis to prevent ischemia-related complications such as leakage or stricture.