Application of the indocyanine green fluorescence imaging method in laparoscopic resection of a solitary retroperitoneal metastasis of renal cell carcinoma: A case report.


Journal

Asian journal of endoscopic surgery
ISSN: 1758-5910
Titre abrégé: Asian J Endosc Surg
Pays: Japan
ID NLM: 101506753

Informations de publication

Date de publication:
Jan 2022
Historique:
revised: 04 04 2021
received: 12 03 2021
accepted: 13 04 2021
pubmed: 24 4 2021
medline: 5 1 2022
entrez: 23 4 2021
Statut: ppublish

Résumé

Fluorescence image-guided surgery has improved intraoperative identification of anatomic structures including visualization of vascular anatomy. Herein, indocyanine green (ICG) fluorescence imaging was applied to identify of a recurrent small tumor of renal cell carcinoma (RCC) during laparoscopic surgery. The patient underwent left laparoscopic radical nephrectomy via the retroperitoneal approach for RCC (clear cell carcinoma, pT1bN0M0) at the age of 39 years. A solitary retroperitoneal mass (14 mm in diameter) was identified in a computed tomography scan 6 years after surgery. We performed laparoscopic resection with the application of the ICG angiography, because RCC is recognized as one of the most hypervascular cancers. The tumor was clearly visualized by fluorescence. Histopathological diagnosis of the resected tumor was recurrent RCC (low grade, G1). The patient remained free of disease at 2 years after surgery. The ICG fluorescence imaging would be a useful method for identification of metastatic small lesions of RCC during laparoscopic surgery.

Identifiants

pubmed: 33890712
doi: 10.1111/ases.12945
doi:

Substances chimiques

Indocyanine Green IX6J1063HV

Types de publication

Case Reports

Langues

eng

Sous-ensembles de citation

IM

Pagination

172-175

Informations de copyright

© 2021 Asia Endosurgery Task Force and Japan Society of Endoscopic Surgery and John Wiley & Sons Australia, Ltd.

Références

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Auteurs

Chul Jang Kim (CJ)

Department of Urology, Kohka Public Hospital, Kohka, Japan.

Masanari Nishida (M)

Department of Urology, Kohka Public Hospital, Kohka, Japan.

Eiki Hanada (E)

Department of Urology, Kohka Public Hospital, Kohka, Japan.

Susumu Kageyama (S)

Department of Urology, Shiga University of Medical Science, Ōtsu, Japan.

Mitsuhiro Narita (M)

Department of Urology, Shiga University of Medical Science, Ōtsu, Japan.

Akihiro Kawauchi (A)

Department of Urology, Shiga University of Medical Science, Ōtsu, Japan.

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