Novel Fluorescence-Guided Gastric Calibration Tube in Robotic Paraesophageal Hernia Repair.

CRSLSOct 27, 2026 (epub)
Case ReportGeneral SurgeryOpen access

Andres Fontaine-Nicola, Hayley Harman, Edgardo Reyes et al.

✦ AI-curated · Sources linked

Case in brief

A 75-year-old woman with symptomatic paraesophageal hiatal hernia and partial gastric volvulus underwent robotic hernia repair with Toupet fundoplication. Surgeons used a 40-Fr fluorescence-guided gastric calibration tube under near-infrared imaging to assist with gastric evacuation, tube positioning, esophageal mobilization, measurement of mobilization below the diaphragm, and calibration of the crural closure and fundoplication. The operation was completed without intraoperative complications. She was discharged on postoperative day 1, and dysphagia had resolved at 8-week follow-up.

What made this case unusual

Near-infrared visualization of the calibration tube provided a continuous intraoperative reference during dissection in distorted anatomy and was used for several steps of the repair, including measuring esophageal mobilization below the diaphragm.

Diagnostic / clinical pearl

In robotic paraesophageal hernia repair, fluorescence-guided visualization of a gastric calibration tube is feasible and may aid orientation and device positioning when anatomy is distorted; this case does not establish an effect on clinical outcomes.

Source

PubMed · PMID 42948756Free full text on PubMed Central

Published in CRSLS. This summary was written by xxcode from the publication's abstract and metadata. It is not peer reviewed and is not a substitute for the original article. For clinical decisions, review the original publication.

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