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ICG Fluorescence in Sleeve Gastrectomy: Enhancing Perfusion Safety | Dr. R.K. Mishra
Vimeo / Aug 9th, 2026 12:42 pm     A+ | a-


ICG Fluorescence Angiography is an advanced imaging technique that can provide valuable real-time information about tissue perfusion during laparoscopic surgery. In this educational demonstration, Dr. R.K. Mishra explains the clinical application of Indocyanine Green (ICG) fluorescence during laparoscopic sleeve gastrectomy, focusing on how fluorescence imaging can assist the surgeon in assessing vascularity and making safer intraoperative decisions.

Laparoscopic sleeve gastrectomy is a widely performed bariatric procedure in which a significant portion of the stomach is removed to create a narrow gastric sleeve. Because the procedure involves extensive gastric mobilization, stapling, and reconstruction of the gastric contour, understanding the vascular supply of the stomach is an important component of safe surgical technique. ICG fluorescence can complement conventional laparoscopic visualization by highlighting perfused tissues under near-infrared imaging.

In this lecture and surgical demonstration, viewers can learn the principles behind ICG fluorescence angiography, its role in evaluating tissue perfusion, and its potential value during critical stages of sleeve gastrectomy. The technique may help surgeons visualize vascular patterns that are not always apparent under standard white-light laparoscopy. This enhanced visualization can support intraoperative assessment around areas where adequate blood supply is particularly important.

Dr. R.K. Mishra discusses the importance of combining advanced imaging technology with sound laparoscopic principles, appropriate surgical anatomy, careful dissection, and precise stapling technique. The demonstration is particularly valuable for surgeons and trainees interested in advanced bariatric surgery, minimally invasive surgery, fluorescence-guided surgery, and modern laparoscopic technology.

This educational content is intended for surgeons, gynecologists, residents, fellows, laparoscopic trainees, and medical professionals who want to strengthen their understanding of advanced minimally invasive surgical techniques. It also demonstrates how emerging technologies such as fluorescence imaging can be integrated into established laparoscopic procedures to enhance anatomical visualization and intraoperative decision-making.

World Laparoscopy Hospital continues to promote structured education and practical training in advanced laparoscopic and robotic surgery. Through lectures, demonstrations, hands-on training, and surgical education, surgeons can develop greater familiarity with modern technologies and their appropriate applications in minimally invasive surgery.

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