Introduction In a time of growing surgical and technical innovations, indocyanine green (ICG)
augmented surgery is adopted for several indications. Surgical treatment of gastric
cancer by using ICG-augmentation is an object of modern treatment and investigations.
Aim We introduce a hybrid surgical approach for distal esophagectomy and gastrectomy
for cancer of the gastroesophageal junction, combining the possible benefits of ICG-augmentation
and robotic preparation.
Material and methods We performed ICG-staining of the tumor site via endoscopy. Therefore indocyanine
green diluted with 20 % human albumin was injected in four quadrants around the expected
tumor. The day after, a DaVici-laparoscopic gastrectomy/ distal esophagectomy was
performed.
Results ICG-staining of tumor site and lymphatic tissue was detected to securely resect all
colored areas.
Conclusions We introduced a possibility of a hybrid ICG-augmented laparoscopic and robotic distal
esophagectomy and gastrectomy for tumors of the gastroesophageal junction.
