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Intraoperative indocyanine green-visualization in a difficult to localize central cholangiocarcinoma – A case report

INTRODUCTION AND IMPORTANCE: Near infrared fluorescence imaging with indocyanine green (ICG) can facilitate the intraoperative tumour localization and therefore a complete resection. Cholangiocarcinoma is an aggressive tumour and complete resection improves the outcome. Therefore, it is necessary to...

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Autores principales: Hempfing, Till M., Husarik, Daniela B., Steffen, Thomas
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8141522/
https://www.ncbi.nlm.nih.gov/pubmed/34004563
http://dx.doi.org/10.1016/j.ijscr.2021.105973
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author Hempfing, Till M.
Husarik, Daniela B.
Steffen, Thomas
author_facet Hempfing, Till M.
Husarik, Daniela B.
Steffen, Thomas
author_sort Hempfing, Till M.
collection PubMed
description INTRODUCTION AND IMPORTANCE: Near infrared fluorescence imaging with indocyanine green (ICG) can facilitate the intraoperative tumour localization and therefore a complete resection. Cholangiocarcinoma is an aggressive tumour and complete resection improves the outcome. Therefore, it is necessary to localize the tumour exactly but the translation of the preoperative imaging into the intraoperative setting can be difficult based only on sonography, computed tomography or magnetic resonance imaging. CASE PRESENTATION/CLINICAL FINDINGS AND INVESTIGATIONS/INTERVENTIONS AND OUTCOME: In this case a hepatic lesion suspicious for cholangiocarcinoma was discovered accidentally. Further diagnostics were unable to prove the diagnosis, therefore right hepatectomy was recommended and performed. Preoperatively ICG was administered and near infrared imaging was used intraoperatively clearly localizing the tumour, thus facilitating the resection. The intra- and postoperative course was uneventful. RELEVANCE AND IMPACT: This case report supports the very promising intraoperative use of fluorescence imaging for the localization of superficial hepatic tumours. Timing and correct administration of ICG is important.
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spelling pubmed-81415222021-05-25 Intraoperative indocyanine green-visualization in a difficult to localize central cholangiocarcinoma – A case report Hempfing, Till M. Husarik, Daniela B. Steffen, Thomas Int J Surg Case Rep Case Report INTRODUCTION AND IMPORTANCE: Near infrared fluorescence imaging with indocyanine green (ICG) can facilitate the intraoperative tumour localization and therefore a complete resection. Cholangiocarcinoma is an aggressive tumour and complete resection improves the outcome. Therefore, it is necessary to localize the tumour exactly but the translation of the preoperative imaging into the intraoperative setting can be difficult based only on sonography, computed tomography or magnetic resonance imaging. CASE PRESENTATION/CLINICAL FINDINGS AND INVESTIGATIONS/INTERVENTIONS AND OUTCOME: In this case a hepatic lesion suspicious for cholangiocarcinoma was discovered accidentally. Further diagnostics were unable to prove the diagnosis, therefore right hepatectomy was recommended and performed. Preoperatively ICG was administered and near infrared imaging was used intraoperatively clearly localizing the tumour, thus facilitating the resection. The intra- and postoperative course was uneventful. RELEVANCE AND IMPACT: This case report supports the very promising intraoperative use of fluorescence imaging for the localization of superficial hepatic tumours. Timing and correct administration of ICG is important. Elsevier 2021-05-12 /pmc/articles/PMC8141522/ /pubmed/34004563 http://dx.doi.org/10.1016/j.ijscr.2021.105973 Text en © 2021 The Author(s) https://creativecommons.org/licenses/by/4.0/This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Case Report
Hempfing, Till M.
Husarik, Daniela B.
Steffen, Thomas
Intraoperative indocyanine green-visualization in a difficult to localize central cholangiocarcinoma – A case report
title Intraoperative indocyanine green-visualization in a difficult to localize central cholangiocarcinoma – A case report
title_full Intraoperative indocyanine green-visualization in a difficult to localize central cholangiocarcinoma – A case report
title_fullStr Intraoperative indocyanine green-visualization in a difficult to localize central cholangiocarcinoma – A case report
title_full_unstemmed Intraoperative indocyanine green-visualization in a difficult to localize central cholangiocarcinoma – A case report
title_short Intraoperative indocyanine green-visualization in a difficult to localize central cholangiocarcinoma – A case report
title_sort intraoperative indocyanine green-visualization in a difficult to localize central cholangiocarcinoma – a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8141522/
https://www.ncbi.nlm.nih.gov/pubmed/34004563
http://dx.doi.org/10.1016/j.ijscr.2021.105973
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