New Navigation Surgery for Resection of Lymphatic Malformations Using Indocyanine Green Fluorescence Imaging
Identifieur interne : 000344 ( Main/Merge ); précédent : 000343; suivant : 000345New Navigation Surgery for Resection of Lymphatic Malformations Using Indocyanine Green Fluorescence Imaging
Auteurs : Chiyoe Shirota [Japon] ; Akinari Hinoki [Japon] ; Masataka Takahashi [Japon] ; Yujiro Tanaka [Japon] ; Takahisa Tainaka [Japon] ; Wataru Sumida [Japon] ; Naruhiko Murase [Japon] ; Kazuo Oshima [Japon] ; Ryo Shirotsuki [Japon] ; Kosuke Chiba [Japon] ; Yuji Morimoto [Japon] ; Hiroo Uchida [Japon]Source :
- The American Journal of Case Reports [ 1941-5923 ] ; 2017.
Abstract
We used indocyanine green (ICG) fluorescence imaging to completely resect lymphatic malformations (LMs). This is the first report of navigation surgery utilizing ICG fluorescence imaging for resection of LMs.
A 15-year-old boy was diagnosed with LMs in the abdominal wall. The extent of the tumor was determined by an ultrasound, and ICG (Diagnogreen®, Daiichi-Sankyo Pharma, Tokyo, Japan) was injected subcutaneously and intradermally into the core and 2 marginal regions of the tumor (3 injections in total), respectively. During surgery, the extent of the tumor was confirmed with a photodynamic eye, and the tumor was completely resected. A fluorescent portion macroscopically estimated as normal was additionally resected and no residual fluorescence or tumor were confirmed in the remaining tissue. Abnormal lymphatic vessels were histopathologically observed in the additionally resected tissue, indicating the invasion of LMs. The surgery had a good outcome with no evidence of recurrence.
We performed near-infrared fluorescence-guided imaging surgery for the resection of LMs in the abdominal wall. This is a single case study; therefore, assessment of more cases is warranted for further validation. This procedure could provide significant benefit to patients requiring resection of LMs.
Url:
DOI: 10.12659/AJCR.903465
PubMed: 28500279
PubMed Central: 5439529
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">New Navigation Surgery for Resection of Lymphatic Malformations Using Indocyanine Green Fluorescence Imaging</title>
<author><name sortKey="Shirota, Chiyoe" sort="Shirota, Chiyoe" uniqKey="Shirota C" first="Chiyoe" last="Shirota">Chiyoe Shirota</name>
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<author><name sortKey="Hinoki, Akinari" sort="Hinoki, Akinari" uniqKey="Hinoki A" first="Akinari" last="Hinoki">Akinari Hinoki</name>
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<author><name sortKey="Takahashi, Masataka" sort="Takahashi, Masataka" uniqKey="Takahashi M" first="Masataka" last="Takahashi">Masataka Takahashi</name>
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<author><name sortKey="Tanaka, Yujiro" sort="Tanaka, Yujiro" uniqKey="Tanaka Y" first="Yujiro" last="Tanaka">Yujiro Tanaka</name>
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<author><name sortKey="Tainaka, Takahisa" sort="Tainaka, Takahisa" uniqKey="Tainaka T" first="Takahisa" last="Tainaka">Takahisa Tainaka</name>
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<author><name sortKey="Sumida, Wataru" sort="Sumida, Wataru" uniqKey="Sumida W" first="Wataru" last="Sumida">Wataru Sumida</name>
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<author><name sortKey="Murase, Naruhiko" sort="Murase, Naruhiko" uniqKey="Murase N" first="Naruhiko" last="Murase">Naruhiko Murase</name>
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<author><name sortKey="Oshima, Kazuo" sort="Oshima, Kazuo" uniqKey="Oshima K" first="Kazuo" last="Oshima">Kazuo Oshima</name>
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<country xml:lang="fr">Japon</country>
<wicri:regionArea>Department of Pediatric Surgery, Nagoya University Graduate School of Medicine, Nagoya</wicri:regionArea>
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<author><name sortKey="Shirotsuki, Ryo" sort="Shirotsuki, Ryo" uniqKey="Shirotsuki R" first="Ryo" last="Shirotsuki">Ryo Shirotsuki</name>
<affiliation wicri:level="1"><nlm:aff id="af1-amjcaserep-18-529">Department of Pediatric Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan</nlm:aff>
<country xml:lang="fr">Japon</country>
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<author><name sortKey="Chiba, Kosuke" sort="Chiba, Kosuke" uniqKey="Chiba K" first="Kosuke" last="Chiba">Kosuke Chiba</name>
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<author><name sortKey="Morimoto, Yuji" sort="Morimoto, Yuji" uniqKey="Morimoto Y" first="Yuji" last="Morimoto">Yuji Morimoto</name>
<affiliation wicri:level="1"><nlm:aff id="af3-amjcaserep-18-529">Department of Integrative Physiology and Bio-Nano Medicine, National Defense Medical College, Saitama, Japan</nlm:aff>
<country xml:lang="fr">Japon</country>
<wicri:regionArea>Department of Integrative Physiology and Bio-Nano Medicine, National Defense Medical College, Saitama</wicri:regionArea>
<wicri:noRegion>Saitama</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Uchida, Hiroo" sort="Uchida, Hiroo" uniqKey="Uchida H" first="Hiroo" last="Uchida">Hiroo Uchida</name>
<affiliation wicri:level="1"><nlm:aff id="af1-amjcaserep-18-529">Department of Pediatric Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan</nlm:aff>
<country xml:lang="fr">Japon</country>
<wicri:regionArea>Department of Pediatric Surgery, Nagoya University Graduate School of Medicine, Nagoya</wicri:regionArea>
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<series><title level="j">The American Journal of Case Reports</title>
<idno type="eISSN">1941-5923</idno>
<imprint><date when="2017">2017</date>
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<front><div type="abstract" xml:lang="en"><p><bold>Patient: Male, 15</bold>
</p>
<p><bold>Final Diagnosis: Lymphatic malformations</bold>
</p>
<p><bold>Symptoms: Abdominal pain</bold>
</p>
<p><bold>Medication: —</bold>
</p>
<p><bold>Clinical Procedure: Navigation surgery</bold>
</p>
<p><bold>Specialty: Surgery</bold>
</p>
<sec><title>Objective:</title>
<p><bold>Unusual or unexpected effect of treatment</bold>
</p>
</sec>
<sec><title>Background:</title>
<p>We used indocyanine green (ICG) fluorescence imaging to completely resect lymphatic malformations (LMs). This is the first report of navigation surgery utilizing ICG fluorescence imaging for resection of LMs.</p>
</sec>
<sec><title>Case Report:</title>
<p>A 15-year-old boy was diagnosed with LMs in the abdominal wall. The extent of the tumor was determined by an ultrasound, and ICG (Diagnogreen<sup>®</sup>
, Daiichi-Sankyo Pharma, Tokyo, Japan) was injected subcutaneously and intradermally into the core and 2 marginal regions of the tumor (3 injections in total), respectively. During surgery, the extent of the tumor was confirmed with a photodynamic eye, and the tumor was completely resected. A fluorescent portion macroscopically estimated as normal was additionally resected and no residual fluorescence or tumor were confirmed in the remaining tissue. Abnormal lymphatic vessels were histopathologically observed in the additionally resected tissue, indicating the invasion of LMs. The surgery had a good outcome with no evidence of recurrence.</p>
</sec>
<sec><title>Conclusions:</title>
<p>We performed near-infrared fluorescence-guided imaging surgery for the resection of LMs in the abdominal wall. This is a single case study; therefore, assessment of more cases is warranted for further validation. This procedure could provide significant benefit to patients requiring resection of LMs.</p>
</sec>
</div>
</front>
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