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Case Reports
. 2020 Apr;13(2):211-214.
doi: 10.1111/ases.12729. Epub 2019 Jul 1.

Laparoscopic surgery for an esophageal duplication cyst using a near-infrared indocyanine green fluorescence system: A case report

Mikito Mori  1 , Kiyohiko Shuto  1 , Atsushi Hirano  1 , Chihiro Kosugi  1 , Kazuo Narushima  1 , Keiji Koda  1
Affiliations
Case Reports

Laparoscopic surgery for an esophageal duplication cyst using a near-infrared indocyanine green fluorescence system: A case report

Mikito Mori et al. Asian J Endosc Surg. 2020 Apr.

Abstract

We herein describe a case of laparoscopic surgery for an esophageal duplication cyst using a near-infrared indocyanine green fluorescence system. A 64-year-old woman with a cystic tumor adjacent to the esophagogastric junction was referred to our hospital for treatment. Esophagogastroduodenoscopy and abdominal CT revealed a 70-mm submucosal tumor derived from the abdominal esophagus. We performed laparoscopic resection and then evaluated the tissue perfusion of the abdominal esophagus by using a near-infrared indocyanine green fluorescence system. A Dor fundoplication was performed to prevent postoperative gastroesophageal reflux disease and reinforce the mucosal layer defect. The postoperative course was uneventful, and pathological evaluation confirmed that the tumor was an esophageal duplication cyst. The patient did not develop recurrence in the 24 months after surgery. We have demonstrated that laparoscopic resection of an esophageal duplication cyst may be performed effectively with intraoperative assessment of tissue perfusion using a near-infrared indocyanine green fluorescence system.

Keywords: NIR-ICG fluorescence; esophageal duplication cyst; laparoscopic surgery.

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Conflict of interest statement

The authors have no conflicts of interest to declare.

Figures

Figure 1
Figure 1
A, Esophagogastroduodenoscopic and B, abdominal CT images of an abdominal esophageal submucosal tumor. A 70‐mm submucosal tumor without mucosal defects in the abdominal esophagus was observed. The yellow arrow indicates the submucosal tumor in the abdominal esophagus
Figure 2
Figure 2
Intraoperative images of the excised lesion of the esophagus by A, white light and B, near‐infrared indocyanine green fluorescence. The yellow arrow indicates the dimension of the excised lesion of the esophagus
See this image and copyright information in PMC

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