Tumor Targeted Fluorescent Dyes for FGS Edited with Dr. Philip S. Low, MD

Complete surgical resection of all malignant tissue remains the most reliable cure for cancer. To facilitate quantitative removal of all cancer lesions, we have developed low molecular weight ligand-targeted fluorescent dyes that bind to receptors on cancer cells and thereby illuminate tumor tissue without highlighting normal tissue. With the aid of these dyes surgeons have been able to i) find and resect more malignant lesions, ii) detect and remove positive tumor margins, iii) more accurately stage cancer patients, and iv) locate and resect more malignant lymph nodes than was previously possible using standard surgical methods of palpation and visual inspection. ...

Lymph node mapping in Colorectal Cancer Surgery with Dr. Gabriel Liberale

Nodal staging is a major prognostic factor in colorectal cancer (CRC) and is used to determine which patients should receive adjuvant chemotherapy. Sentinel lymph node (SLN) has been reported as the first lymph node (LN) receiving lymphatic drainage from the tumor as a consequence nodal staging of a patient can be predicted through analysis of this SLN. This concept has been applied in malignant melanoma and breast cancer, using peritumoral blue dye injection, where it has become the standard of care allowing to avoid unnecessary lymphadenectomy in node negative (pN0) patients. However, in colon cancer lymphadenectomy is systematically performed. Therefore, ...

The use of ICG in endocrine surgery with Dr. Michael Bouvet, MD, FACS

Indocyanine Green (ICG) is being utilized to identify both normal parathyroid glands during thyroidectomy and also to identify parathyroid adenomas during parathyroidectomy for primary or secondary hyperparathyroidism. The use of ICG allows for assessment of parathyroid perfusion. By using ICG, surgeons may be able to reduce the incidence of hypoparathyroidism following thyroidectomy and also may find it useful to identify parathyroid adenomas. For adrenal surgery, ICG allows identification of the blood supply and venous drainage of the tumor that at times can be challenging. This lecture will provide you a clear understanding of the use and benefits of the use ...

Interests of intra operative ICG Fluorescence in Liver Transplantation Edited

This webinar will present the interest of intra operative NIR fluorescence of ICG in the field of cadaveric liver transplantation. The interest of ICG fluorescence to assess arterial reconstruction of the graft will be emphasized using clinical cases. Our works about qualitative and quantitative liver parenchymal fluorescence enhancement to predict the risk of graft loss will be presented in this webinar

Fluorescence guided Surgery of Head and Neck Cancer

Results will be presented from ongoing clinical trials evaluating the ability of fluorescently labeled antibodies to enhance surgical resection in head and neck patients. Additionally, the inherent benefit of the technology will be examined during various stages of the surgical treatment workflow. Individual cases demonstrating patient benefit will be presented. In order to advance the field of fluorescence-guided surgery for oncologic resection, it is critical to investigate all areas of clinical application to maximize patient benefit.

Preventing Postoperative Hypocalcemia in Thyroid Surgery

Dr Fernando Dip will be showing us the results of a study that was recently published. The effectiveness of using near-infrared light (NIRL) intraoperatively for parathyroid gland identification was demonstrated. He will be showing us how the technology can be used in order to decrease the rate of hypocalcemia after thyroidectomies.

RCT and Cholangiogram

With over 750,000 procedures performed annually, laparoscopic cholecystectomy is the most common ambulatory surgical procedure performed in the USA.

Despite its proven safety record, the incidence of common bile duct injuries and conversions remain at an unacceptable high rate. The introduction of laparoscopic cholecystectomy has increased the number of common bile duct injuries to approximately 4 to 8 in 1000 cases. Conversions are estimated between 4% to 8 %. The most common reason for CBDI is surgeons misidentification of the biliary tree anatomy. Near infrared fluorescent cholangiography is a new, non invasive imaging modality that will allow surgeons to identify ...

Role of FIGS in Colorectal Surgery

Recently, in vivo fluorescence imaging using indocyanine green (ICG) has actively been applied to open and then laparoscopic HPB surgery, for intraoperative visualization of biological structures and assessment of blood perfusion. This webinar will discuss the methods and results.

Intraoperative fluorescence imaging will develop into an essential navigation tool enabling surgeons to identify the extent of cancer spread, anatomical variations, and a risk of postoperative complications in each individual case, enhancing accuracy and safety of HPB surgery.

Impact of incisionless fluorescent cholangiography

Fluorescent insicionless cholangiography during laparoscopic cholecystectomy. Is this a New Gold Standard?

This presentation is aimed to reinforce the impact of this novel technology that might transform Laparoscopic Cholecystectomy into one of the safest surgical procedures. Despite the major advances in Laparoscopic Cholecystectomy over the past two decades, patients undergoing the procedure may still face life-threatening complications due to misidentification of the bile duct anatomy.

With the routine use of near infrared (NIR) guided surgery, surgeons have the possibility to increase the range of visualization and understanding of the extrahepatic bile ducts and avoid injuries due to misidentification. This lecture will ...

Importance of Fluorescence in Lymph Surgery

Surgery on lymph system has become an important long-term treatment of lymphedema. The performance of this demanding surgical procedure is increasing all over the world. In order to be able to assess the situation of the lymphedema and to decide on the lymph surgery an assessment of the lymphatics is necessary. The fluorescence angiography allows you to visualize the functionality, individual physiology, velocity of the lymphatics and thus severity of a lymphedema. Having the real-time picture of the patient’s lymphatics surgeon can decide on the best suitable surgical procedure. This presentation will show the use of fluorescence lymphangiography and different ...

Role of FIGS in Liver Surgery

Recently, in vivo fluorescence imaging using indocyanine green (ICG) has actively been applied to open and then laparoscopic HPB surgery, for intraoperative visualization of biological structures and assessment of blood perfusion. This webinar will discuss the methods and results.

Intraoperative fluorescence imaging will develop into an essential navigation tool enabling surgeons to identify the extent of cancer spread, anatomical variations, and a risk of postoperative complications in each individual case, enhancing accuracy and safety of HPB surgery.

Use of Fluorescence in Abdominal Wall Reconstruction

Objectives

  • Recognize the soft tissue challenges in abdominal wall reconstruction
  • Understand the options to evaluate perfusion of the abdominal wall
  • Become familiar with the steps to use of fluorescence in the assessment of abdominal wall perfusion

Role of Fluorescence in Organ Perfusion

The webinar will describe the basic principles of fluorescence guided surgery with special interest in the field of organ perfusion control using fluorescent angiography. An extensive review of the available literature will also be discussed.