Application of indocyanine green fluorescence imaging navigation in pediatric surgery: A single-center review

Background: Pediatric patients often exhibit congenital disorders and rare diseases. Consequently, pediatric surgeons must frequently perform atypical surgeries, dealing with a great deal of stress. Regarding atypical surgeries, navigation is required to ensure safety and surgical precision. In this...

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Main Authors: Chiyoe Shirota, Akinari Hinoki, Takahisa Tainaka, Wataru Sumida, Satoshi Makita, Hizuru Amano, Aitaro Takimoto, Akihiro Yasui, Shunya Takada, Yoichi Nakagawa, Hiroo Uchida
Format: Article
Language:English
Published: Elsevier 2023-12-01
Series:Journal of Pediatric Surgery Open
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2949711623000722
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author Chiyoe Shirota
Akinari Hinoki
Takahisa Tainaka
Wataru Sumida
Satoshi Makita
Hizuru Amano
Aitaro Takimoto
Akihiro Yasui
Shunya Takada
Yoichi Nakagawa
Hiroo Uchida
author_facet Chiyoe Shirota
Akinari Hinoki
Takahisa Tainaka
Wataru Sumida
Satoshi Makita
Hizuru Amano
Aitaro Takimoto
Akihiro Yasui
Shunya Takada
Yoichi Nakagawa
Hiroo Uchida
author_sort Chiyoe Shirota
collection DOAJ
description Background: Pediatric patients often exhibit congenital disorders and rare diseases. Consequently, pediatric surgeons must frequently perform atypical surgeries, dealing with a great deal of stress. Regarding atypical surgeries, navigation is required to ensure safety and surgical precision. In this study, we report our experience with 213 indocyanine green (ICG) fluorescence navigation (ICG-nav) surgeries and introduce our newly developed protocols of ICG-nav for pediatric surgery. Methods: The route and method of ICG administration, surgery, complications, and efficacy of ICG-nav surgery were retrospectively evaluated. Thereafter, the protocols were established. Results: Stable navigation was possible for chylothorax, cholelithiasis, primary hepatoblastoma lesions, hepatoblastoma lung metastases, nephroblastoma liver metastases, organ blood flow, the thoracic duct, lymphatic malformation, and lung segmentectomy. New protocols were established for these cases. Conclusions: ICG-nav could be performed safely in children given that the total amount of ICG administered was carefully controlled. Furthermore, ICG-nav was a highly applicable navigation surgical technique that could be used for treating a wide variety of diseases. To our knowledge, this is the first report of successful ICG-nav for liver metastases from nephroblastoma presented in this series.
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spelling doaj.art-0b926b2c58ee44b69b04bc62ef92da4d2023-12-10T06:19:54ZengElsevierJournal of Pediatric Surgery Open2949-71162023-12-014100075Application of indocyanine green fluorescence imaging navigation in pediatric surgery: A single-center reviewChiyoe Shirota0Akinari Hinoki1Takahisa Tainaka2Wataru Sumida3Satoshi Makita4Hizuru Amano5Aitaro Takimoto6Akihiro Yasui7Shunya Takada8Yoichi Nakagawa9Hiroo Uchida10Department of Pediatric Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan; Corresponding author at: Department of Pediatric Surgery, Nagoya University Graduate School of Medicine, 466-8550, 65 Tsurumai-cho, Showa-ku, Nagoya, Japan.Department of Rare/Intractable Cancer Analysis Research, Nagoya University Graduate School of Medicine, Nagoya, JapanDepartment of Pediatric Surgery, Nagoya University Graduate School of Medicine, Nagoya, JapanDepartment of Pediatric Surgery, Nagoya University Graduate School of Medicine, Nagoya, JapanDepartment of Pediatric Surgery, Nagoya University Graduate School of Medicine, Nagoya, JapanDepartment of Rare/Intractable Cancer Analysis Research, Nagoya University Graduate School of Medicine, Nagoya, JapanDepartment of Pediatric Surgery, Nagoya University Graduate School of Medicine, Nagoya, JapanDepartment of Pediatric Surgery, Nagoya University Graduate School of Medicine, Nagoya, JapanDepartment of Pediatric Surgery, Nagoya University Graduate School of Medicine, Nagoya, JapanDepartment of Pediatric Surgery, Nagoya University Graduate School of Medicine, Nagoya, JapanDepartment of Pediatric Surgery, Nagoya University Graduate School of Medicine, Nagoya, JapanBackground: Pediatric patients often exhibit congenital disorders and rare diseases. Consequently, pediatric surgeons must frequently perform atypical surgeries, dealing with a great deal of stress. Regarding atypical surgeries, navigation is required to ensure safety and surgical precision. In this study, we report our experience with 213 indocyanine green (ICG) fluorescence navigation (ICG-nav) surgeries and introduce our newly developed protocols of ICG-nav for pediatric surgery. Methods: The route and method of ICG administration, surgery, complications, and efficacy of ICG-nav surgery were retrospectively evaluated. Thereafter, the protocols were established. Results: Stable navigation was possible for chylothorax, cholelithiasis, primary hepatoblastoma lesions, hepatoblastoma lung metastases, nephroblastoma liver metastases, organ blood flow, the thoracic duct, lymphatic malformation, and lung segmentectomy. New protocols were established for these cases. Conclusions: ICG-nav could be performed safely in children given that the total amount of ICG administered was carefully controlled. Furthermore, ICG-nav was a highly applicable navigation surgical technique that could be used for treating a wide variety of diseases. To our knowledge, this is the first report of successful ICG-nav for liver metastases from nephroblastoma presented in this series.http://www.sciencedirect.com/science/article/pii/S2949711623000722Indocyanine greenPediatric surgeryTumorNavigation surgery
spellingShingle Chiyoe Shirota
Akinari Hinoki
Takahisa Tainaka
Wataru Sumida
Satoshi Makita
Hizuru Amano
Aitaro Takimoto
Akihiro Yasui
Shunya Takada
Yoichi Nakagawa
Hiroo Uchida
Application of indocyanine green fluorescence imaging navigation in pediatric surgery: A single-center review
Journal of Pediatric Surgery Open
Indocyanine green
Pediatric surgery
Tumor
Navigation surgery
title Application of indocyanine green fluorescence imaging navigation in pediatric surgery: A single-center review
title_full Application of indocyanine green fluorescence imaging navigation in pediatric surgery: A single-center review
title_fullStr Application of indocyanine green fluorescence imaging navigation in pediatric surgery: A single-center review
title_full_unstemmed Application of indocyanine green fluorescence imaging navigation in pediatric surgery: A single-center review
title_short Application of indocyanine green fluorescence imaging navigation in pediatric surgery: A single-center review
title_sort application of indocyanine green fluorescence imaging navigation in pediatric surgery a single center review
topic Indocyanine green
Pediatric surgery
Tumor
Navigation surgery
url http://www.sciencedirect.com/science/article/pii/S2949711623000722
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