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Case Reports
. 2025 Nov-Dec;30(6):787-788.
doi: 10.4103/jiaps.jiaps_88_25. Epub 2025 Aug 14.

Indocyanine Green Fluorescence-guided Thoracic Duct Sparing Esophagectomy for Corrosive Esophageal Stricture in a Pediatric Patient

Komal Aggarwal  1 , Anjan Dhua  1 , Devendra Kumar Yadav  1 , Vishesh Jain  1 , Prabudh Goel  1 , Sandeep Agarwala  1 , Devasenathipathy Kandasamy  2
Affiliations
Case Reports

Indocyanine Green Fluorescence-guided Thoracic Duct Sparing Esophagectomy for Corrosive Esophageal Stricture in a Pediatric Patient

Komal Aggarwal et al. J Indian Assoc Pediatr Surg. 2025 Nov-Dec.

Abstract

Chylothorax is a serious postoperative risk in pediatric esophagectomy due to thoracic duct injury. This case report demonstrates the feasibility and safety of indocyanine green fluorescence with near-infrared imaging for real-time thoracic duct visualization, enabling duct preservation and potentially reducing complications during thoracoscopic esophagectomy in a child with corrosive stricture.

Keywords: Chylothorax; indocyanine green fluorescence; thoracic duct injury.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
(a) Injecting indocyanine green (ICG) in the inguinal node with an ultrasound guide, (b) Intraoperative visualization of thoracic duct via ICG fluorescence, white arrow
See this image and copyright information in PMC

References

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    1. Xie F, Li Y, Li Y. Real-time visualization of thoracic duct using near-infrared fluorescence with indocyanine green during esophagectomy. Surg Endosc. 2020;34:3451–7.

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