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ID 114552
Title Alternative
ICG Navigated Pulmonary Metastasectomy of HCC
Author
Sakiyama, Shoji The University of Tokushima KAKEN Search Researchers
Keywords
indocyanine green
hepatocellular carcinoma
near-infrared imaging
Content Type
Journal Article
Description
Indocyanine green can selectively accumulate in primary hepatocellular carcinoma (HCC) and extrahepatic metastases. We report a patient who underwent resection of pulmonary metastasis of HCC using a thoracoscopic near-infrared imaging system and fluorescent navigation surgery. A 66-year-old man with suspicion of pulmonary metastasis of HCC was referred to our hospital. Indocyanine green was injected intravenously at a dose of 0.5 mg/kg body weight, 20 h before thoracoscopic surgery. An endoscopic indocyanine green near-infrared fluorescence imaging system showed clear blue fluorescence, indicating pulmonary metastasis of HCC in a lingular segment. We performed wide wedge resection using the fluorescence image for navigation to confirm the surgical margins. The specimen was histologically confirmed as a pulmonary metastasis of HCC. In conclusion, thoracoscopic indocyanine green near-infrared fluorescence imaging for pulmonary metastases of HCC is useful in identifying tumor locations and ensuring resection margins.
Journal Title
Annals of Thoracic and Cardiovascular Surgery
ISSN
13411098
21861005
NCID
AA11035352
Publisher
The Editorial Committee of Annals of Thoracic and Cardiovascular Surgery
Volume
22
Issue
6
Start Page
367
End Page
369
Published Date
2016-12-20
Rights
This article is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International license.
https://creativecommons.org/licenses/by-nc-nd/4.0/
EDB ID
DOI (Published Version)
URL ( Publisher's Version )
FullText File
language
eng
TextVersion
Publisher
departments
University Hospital
Medical Sciences