In the April 2023 issue of the Annals of Thoracic Surgery, Ng et al. reported the proposed recommendations developed from an expert panel for the use of ICG-NIR fluorescence in thoracic and esophageal procedures. The expert panel was composed of 12 thoracic and gastrointestinal surgeons from Asian-Pacific countries, and these recommendations were formulated during a consensus meeting in an attempt to adopt, optimize, and standardize the use of this technique in thoracic and esophageal surgery, including the indications, the route of administration, the dose required, and the contraindications, based on the most current surgical literature.

This panel focused on the following 7 areas: intersegmental plane identification for sublobar resections; pulmonary nodule localization; lung tumor detection; bullous lesion detection; lymphatic mapping of lung tumors, evaluation of gastric conduit perfusion, and lymphatic mapping in esophageal procedures

These consensus recommendations reflect the safety and feasibility of ICG-NIR fluorescence in thoracic and esophageal surgery.

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