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Fluorescence Imaging After Indocyanine Green Injection for Detection of Peritoneal Metastases in Patients Undergoing Cytoreductive Surgery for Peritoneal Carcinomatosis From Colorectal Cancer: A Pilot Study.

Identifieur interne : 000394 ( Ncbi/Merge ); précédent : 000393; suivant : 000395

Fluorescence Imaging After Indocyanine Green Injection for Detection of Peritoneal Metastases in Patients Undergoing Cytoreductive Surgery for Peritoneal Carcinomatosis From Colorectal Cancer: A Pilot Study.

Auteurs : Gabriel Liberale [Belgique] ; Sophie Vankerckhove ; Maria Gomez Caldon ; Bissan Ahmed ; Michel Moreau ; Issam El Nakadi ; Denis Larsimont ; Vincent Donckier ; Pierre Bourgeois

Source :

RBID : pubmed:26735157

Abstract

The aim of this study was to evaluate the role of fluorescence imaging (FI) using an intraoperative injection of free indocyanine green (ICG) in the detection of peritoneal metastases (PM) due to colorectal cancer (CRC).

DOI: 10.1097/SLA.0000000000001618
PubMed: 26735157

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pubmed:26735157

Le document en format XML

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<title xml:lang="en">Fluorescence Imaging After Indocyanine Green Injection for Detection of Peritoneal Metastases in Patients Undergoing Cytoreductive Surgery for Peritoneal Carcinomatosis From Colorectal Cancer: A Pilot Study.</title>
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<name sortKey="Liberale, Gabriel" sort="Liberale, Gabriel" uniqKey="Liberale G" first="Gabriel" last="Liberale">Gabriel Liberale</name>
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<nlm:affiliation>*Department of Surgery, Institut Jules Bordet, Université Libre de Bruxelles †Clinic-Unit of Lymphology ‡Department of Anatomopathology §Department of Statistics and Data Centre, Institut Jules Bordet, Université Libre de Bruxelles, Brussels, Belgium.</nlm:affiliation>
<country xml:lang="fr">Belgique</country>
<wicri:regionArea>*Department of Surgery, Institut Jules Bordet, Université Libre de Bruxelles †Clinic-Unit of Lymphology ‡Department of Anatomopathology §Department of Statistics and Data Centre, Institut Jules Bordet, Université Libre de Bruxelles, Brussels</wicri:regionArea>
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<name sortKey="Vankerckhove, Sophie" sort="Vankerckhove, Sophie" uniqKey="Vankerckhove S" first="Sophie" last="Vankerckhove">Sophie Vankerckhove</name>
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<name sortKey="Caldon, Maria Gomez" sort="Caldon, Maria Gomez" uniqKey="Caldon M" first="Maria Gomez" last="Caldon">Maria Gomez Caldon</name>
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<name sortKey="Ahmed, Bissan" sort="Ahmed, Bissan" uniqKey="Ahmed B" first="Bissan" last="Ahmed">Bissan Ahmed</name>
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<name sortKey="Moreau, Michel" sort="Moreau, Michel" uniqKey="Moreau M" first="Michel" last="Moreau">Michel Moreau</name>
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<name sortKey="Nakadi, Issam El" sort="Nakadi, Issam El" uniqKey="Nakadi I" first="Issam El" last="Nakadi">Issam El Nakadi</name>
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<name sortKey="Larsimont, Denis" sort="Larsimont, Denis" uniqKey="Larsimont D" first="Denis" last="Larsimont">Denis Larsimont</name>
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<name sortKey="Donckier, Vincent" sort="Donckier, Vincent" uniqKey="Donckier V" first="Vincent" last="Donckier">Vincent Donckier</name>
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<name sortKey="Bourgeois, Pierre" sort="Bourgeois, Pierre" uniqKey="Bourgeois P" first="Pierre" last="Bourgeois">Pierre Bourgeois</name>
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<nlm:affiliation>*Department of Surgery, Institut Jules Bordet, Université Libre de Bruxelles †Clinic-Unit of Lymphology ‡Department of Anatomopathology §Department of Statistics and Data Centre, Institut Jules Bordet, Université Libre de Bruxelles, Brussels, Belgium.</nlm:affiliation>
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<wicri:regionArea>*Department of Surgery, Institut Jules Bordet, Université Libre de Bruxelles †Clinic-Unit of Lymphology ‡Department of Anatomopathology §Department of Statistics and Data Centre, Institut Jules Bordet, Université Libre de Bruxelles, Brussels</wicri:regionArea>
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<name sortKey="Vankerckhove, Sophie" sort="Vankerckhove, Sophie" uniqKey="Vankerckhove S" first="Sophie" last="Vankerckhove">Sophie Vankerckhove</name>
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<name sortKey="Caldon, Maria Gomez" sort="Caldon, Maria Gomez" uniqKey="Caldon M" first="Maria Gomez" last="Caldon">Maria Gomez Caldon</name>
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<name sortKey="Ahmed, Bissan" sort="Ahmed, Bissan" uniqKey="Ahmed B" first="Bissan" last="Ahmed">Bissan Ahmed</name>
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<author>
<name sortKey="Moreau, Michel" sort="Moreau, Michel" uniqKey="Moreau M" first="Michel" last="Moreau">Michel Moreau</name>
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<name sortKey="Nakadi, Issam El" sort="Nakadi, Issam El" uniqKey="Nakadi I" first="Issam El" last="Nakadi">Issam El Nakadi</name>
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<name sortKey="Larsimont, Denis" sort="Larsimont, Denis" uniqKey="Larsimont D" first="Denis" last="Larsimont">Denis Larsimont</name>
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<name sortKey="Donckier, Vincent" sort="Donckier, Vincent" uniqKey="Donckier V" first="Vincent" last="Donckier">Vincent Donckier</name>
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<name sortKey="Bourgeois, Pierre" sort="Bourgeois, Pierre" uniqKey="Bourgeois P" first="Pierre" last="Bourgeois">Pierre Bourgeois</name>
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<title level="j">Annals of surgery</title>
<idno type="eISSN">1528-1140</idno>
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<date when="2016" type="published">2016</date>
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<div type="abstract" xml:lang="en">The aim of this study was to evaluate the role of fluorescence imaging (FI) using an intraoperative injection of free indocyanine green (ICG) in the detection of peritoneal metastases (PM) due to colorectal cancer (CRC).</div>
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<PMID Version="1">26735157</PMID>
<DateCreated>
<Year>2016</Year>
<Month>1</Month>
<Day>6</Day>
</DateCreated>
<DateRevised>
<Year>2016</Year>
<Month>1</Month>
<Day>7</Day>
</DateRevised>
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<Journal>
<ISSN IssnType="Electronic">1528-1140</ISSN>
<JournalIssue CitedMedium="Internet">
<PubDate>
<Year>2016</Year>
<Month>Jan</Month>
<Day>5</Day>
</PubDate>
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<Title>Annals of surgery</Title>
<ISOAbbreviation>Ann. Surg.</ISOAbbreviation>
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<ArticleTitle>Fluorescence Imaging After Indocyanine Green Injection for Detection of Peritoneal Metastases in Patients Undergoing Cytoreductive Surgery for Peritoneal Carcinomatosis From Colorectal Cancer: A Pilot Study.</ArticleTitle>
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<MedlinePgn></MedlinePgn>
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<Abstract>
<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">The aim of this study was to evaluate the role of fluorescence imaging (FI) using an intraoperative injection of free indocyanine green (ICG) in the detection of peritoneal metastases (PM) due to colorectal cancer (CRC).</AbstractText>
<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">A large proportion of patients undergoing cytoreductive surgery and hyperthermic intraperitoneal chemotherapy will have local recurrence. This is, in part, related to the presence of small undetected nodules in the peritoneal cavity. Near-infrared FI-guided surgery has provided new opportunities for detection of nonvisible lesions during cancer surgery.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Patients with PM from CRC admitted for cytoreductive surgery and hyperthermic intraperitoneal chemotherapy were selected for participation in this study (NCT02032485). Free ICG, at 0.25 mg/kg of patient weight, was intravenous (IV)-injected intraoperatively. Tumor-to-background ratio was calculated for all suspect resected PM.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Sixty-three of 78 peritoneal resected nodules in 14 patients were evaluated for fluorescence, among them, 53 were malignant (84%) and 10 benign (16%). Twenty-six were hypofluorescent, 16 moderately hyperfluorescent, and 21 hyperfluorescent. Amongst the 42 nodules of the 9 patients with nonmucinous adenocarcinoma, the mean tumor-to-background ratio was 1.92 (SD 0.67) in malignant and 1.02 (SD 0.06) in benign nodules (P = 0.0099). In 4 of 14 patients (29%), the surgery was modified by intraoperative ICG-FI, which detected additional PM not found using visualization and palpation.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">This pilot study demonstrates that non-mucinous PM of CRC can be visualized intraoperatively using ICG-FI. Furthermore, ICG-FI findings resulted in modification of the planned surgery in 29% of patients.This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License, where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially. http://creativecommons.org/licenses/by-nc-nd/4.0.</AbstractText>
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