Evolving applications of fluorescence guided surgery in pediatric surgical oncology: A practical guide for surgeons.

Abstract:

:Fluorescence-guided surgery (FGS) is an increasingly available and popular method of visual field augmentation. The basic premise of FGS entails injection of fluorescent indocyanine green (ICG) and subsequent detection with a near-infrared (NIR) camera. For pediatric surgical oncologists, FGS remains experimental but is a promising modality for identifying tumor margins, locating metastases, performing sentinel lymph node biopsies, protecting peritumoral structures of interest, and facilitating reconstruction. Familiarity with basic ICG pharmacokinetics and NIR detection optics is critical for surgeons wishing to judiciously use FGS, as its success is firmly grounded in a thorough understanding of its capabilities and limitations. In this practical guide, we outline several well-described and innovative FGS applications by disease type, including their methods of administration, modes of detection, and typical ICG dosing paradigms. LEVEL OF EVIDENCE: V.

journal_name

J Pediatr Surg

authors

Goldstein SD,Heaton TE,Bondoc A,Dasgupta R,Abdelhafeez A,Davidoff AM,Lautz TB

doi

10.1016/j.jpedsurg.2020.10.013

subject

Has Abstract

pub_date

2020-10-19 00:00:00

eissn

0022-3468

issn

1531-5037

pii

S0022-3468(20)30761-2

pub_type

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