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Lighting the Way: How ICG Enables Minimally Invasive Thoracic Surgeries in Resource-Limited Settings
Siri Kottu H. Lighting the Way: How ICG Enables Minimally Invasive Thoracic Surgeries in Resource-Limited Settings. October 2025. doi:10.25373/ctsnet.30300373
This video submission is from the 2025 CTSNet Innovation Video Competition. Watch all entries from the competition, including the winning videos.
The authors prospectively documented the use of Indocyanine Green (ICG) fluorescence in minimally invasive surgery (MIS) performed at their center. ICG was administered intravenously at standardized doses, and near-infrared thoracoscopy was used to visualize fluorescence. Beyond its conventional role in conduit perfusion assessment, ICG was applied to pulmonary metastasectomy for nodule localization, segmental lung resections for the delineation of intersegmental planes, thoracic duct visualization (without the use of ultrasonography (USG) for injecting dye) and ligation in chylothorax, and intraoperative visualization of bronchial and esophageal anatomy in complex surgeries.
References
- Pischik VG, Kovalenko A. The role of indocyanine green fluorescence for intersegmental plane identification during video-assisted thoracoscopic surgery segmentectomies. J Thorac Dis. 2018 Nov;10(Suppl 31):S3704-S3711. doi: 10.21037/jtd.2018.04.84. PMID: 30505555; PMCID: PMC6258641.
- Zhang O, Wright G, Chao YK, Cao C. Indocyanine Green (ICG): A Versatile Tool in Enhancing Precision in Minimally Invasive Thoracic Surgery. Heart Lung Circ. 2024 Nov;33(11):1600-1604. doi: 10.1016/j.hlc.2024.04.310. Epub 2024 Sep 20. PMID: 39306552.
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