Fluorescence Image Guided Foregut Surgery

Summary

A high number of resected lymph nodes is an independent prognostic factor for improved survival after esophagectomy or gastrectomy for cancer. The quality of the lymphadenectomy is operator-dependent, as is the evaluation of the vascularization of the digestive structures that are anastomosed to restore digestive continuity after esophago-gastric resection. The aim of the study is to evaluate the impact of Indocyanine Green (ICG) and near infra-red (NIR) fluorescence imaging guidance in terms of number of lymph nodes resected and quality of gastrointestinal tract anastomoses in esophagogastric cancer surgery.

Eligibility

Inclusion Criteria:

* Man or woman over 18 years old.
* Patient with resectable primitive esophageal or gastric cancer confirmed by biopsy without distant metastases
* Patient with no contraindications to anaesthesia and performance of esophageal and/or gastric surgery
* Patient able to receive and understand information related to the study and give written informed consent.
* Patient affiliated to the French social security system.

Exclusion Criteria:

* Patient undergoing emergency surgery (hemorrhage, occlusion or perforation).
* Presence of distant metastasis
* Patient at risk of allergy to indocyanine green or to other fluorescent compounds
* Pregnant or lactating patient.
* Patient in exclusion period (determined by a previous or a current study).
* Patient under the protection of justice.
* Patient under guardianship or trusteeship.
* Patient deprived of liberty

Conditions3

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