Computed tomography-guided marking using a dye-staining method for preoperative localization of tiny pulmonary lesions in children View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2021-06-06

AUTHORS

Taku Yamamichi, Masanori Nishikawa, Keita Takayama, Koki Takase, Kiyokazu Kim, Satoshi Umeda, Ai Tayama, Ryo Tsukada, Motonari Nomura, Hiroomi Okuyama, Noriaki Usui

ABSTRACT

PurposeIt is important to confirm the existence of pulmonary metastases in pediatric patients with malignancies. Therefore, we aimed to investigate if computed tomography CT-guided marking is a feasible and safe method for the identification and resection of tiny pulmonary lesions in pediatric cancer patients. MethodsWe retrospectively reviewed the medical records of pediatric cancer patients who underwent CT-guided marking procedures in our institutions between Jan 2011 and Apr 2020. After 2015, these procedures were combined with an indocyanine green (ICG) navigation-guided surgery for hepatoblastoma cases.ResultsWe targeted a total of 22 nodules in 12 patients. Of these, marking was successful in 18 (81.8%) nodules, 10 of which contained viable malignant cells. Complications caused by the marking procedures included mild pneumothorax and mild atelectasis in two patients, respectively. Of the eight resected nodules in patients with hepatoblastoma, four were ICG-positive and contained viable malignant cells. Two additional ICG-positive nodules, which were unidentified before surgery, were observed intraoperatively.ConclusionCT-guided marking is a feasible and safe method that can be used to identify and resect tiny pulmonary lesions in pediatric cancer patients. An ICG navigation-guided surgery is useful when combined with CT-guided marking, particularly in hepatoblastoma cases. More... »

PAGES

1265-1272

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00383-021-04930-1

DOI

http://dx.doi.org/10.1007/s00383-021-04930-1

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1138645692

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/34091750


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