Fluorescence-Guided Surgery for Hepatoblastoma with Indocyanine Green
Yohei Yamada, Michinobu Ohno, Akihiro Fujino, Yutaka Kanamori, Rie Irie, Takako Yoshioka, Osamu Miyazaki, Hajime Uchida, Akinari Fukuda, Seisuke Sakamoto, Mureo Kasahara, Kimikazu Matsumoto, Yasushi Fuchimoto, Ken Hoshino, Tatsuo Kuroda, Tomoro Hishiki, Yohei Yamada, Michinobu Ohno, Akihiro Fujino, Yutaka Kanamori, Rie Irie, Takako Yoshioka, Osamu Miyazaki, Hajime Uchida, Akinari Fukuda, Seisuke Sakamoto, Mureo Kasahara, Kimikazu Matsumoto, Yasushi Fuchimoto, Ken Hoshino, Tatsuo Kuroda, Tomoro Hishiki
Abstract
Fluorescence-guided surgery with indocyanine green (ICG) for malignant hepatic tumors has been gaining more attention with technical advancements. Since hepatoblastomas (HBs) possess similar features to hepatocellular carcinoma, fluorescence-guided surgery can be used for HBs, as aggressive surgical resection, even for distant metastases of HBs, often contributes positively to R0 (complete) resection and subsequent patient survival. Despite a few caveats, fluorescence-guided surgery allows for the more sensitive identification of lesions that may go undetected by conventional imaging or be invisible macroscopically. This leads to precise resection of distant metastatic tumors as well as primary liver tumors.
Keywords: hepatoblastoma; indocyanine green; navigation; near infrared.
Conflict of interest statement
The authors declare no conflict of interest.
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References
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