Indocyanine green (ICG) guidance improves lymphadenectomy in gastric cancer post-neoadjuvant chemotherapy.

• ICG increased lymph node retrieval by an average of nearly 9 nodes.
• Patients with ICG guidance were 2.3 times more likely to retrieve 30 or more nodes compared to conventional methods.

ICG use showed no increase in complications, supporting its safe application in surgical practice for better outcomes.

• Non-compliance rates were lower with ICG, enhancing surgical reliability.