PMC10172659_01
Showing the lesion as well as the enlarged lymph node detected at the initial ultrasound examination.
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F1
Figure 1 shows the ultrasonographic findings of the pancreas and the enlarged lymph node.
A total of six draining nodes was detected using NIR lymphography (A), three of which were not palpable or visible without NIR guidance during surgery. (B) Schematic illustration of the detected nodes: 1 = Right hepatic lymph node, 2= left hepatic lymph node, 3= splenic lymph node, 4= right colic lymph node, 5= jejunal lymph node, 6= duodenal lymph node.
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F2
Lymphatics became visible within seconds (Supplementary Video 1, Visionsense, VS3 Iridium, Medtronic, Switzerland), resulting in the identification of a total of six draining nodes, including the three nodes previously identified prior to injection, as well as the right (0.6 x 0.4 x 0.4 cm) and left hepatic nodes (0.2 x 0.2 x 0.2 cm) and a splenic node (0.5 x 0.5 x 0.5 cm) (please refer to Figure 2).
*Yellow box marks the reference range.
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F3
A timeline with progression of the case is depicted in Figure 3.