Initial Application of Fluorescence Imaging for Intraoperative Localization of Small Neuroendocrine Tumors in the Pancreas: Case Report and Review of the Literature

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2024年11月19日

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Shihang Xi,
Xingyuan Zheng,
Xu Wang,
Bin Jiang,
Zhengchao Shen,
Guannan Wang,
Yaqi Jiang,
Xiaosan Fang,
Daohai Qian,
Danish Irshad Muhammad,
Xiaoming Wang

摘要

Background

Indocyanine green is commonly used for laparoscopic hepatectomy but remains uncommon in pancreatic surgery. Given the increasing number of small neuroendocrine tumors found in the pancreas and the heavy reliance on laparoscopic ultrasound for intraoperative localization, we attempted to use indocyanine green for these tumors. Our results show good localization and have the potential to provide a valuable clinical aid.

Case Presentation

This case report details five patients with preoperative diagnosis of pancreatic neuroendocrine tumors of small endocrine tumors, intraoperative successful localization, and successful completion of laparoscopic partial resection of pancreatic tumors by indocyanine green fluorescence staining; none of the patients experienced serious complications after surgery and were discharged from the hospital, and routine pathology confirmed that four cases were pancreatic neuroendocrine tumors of G1 stage, and one case was pancreatic neuroendocrine cell hyperplasia.

Conclusion

Fluorescence imaging technology safely aids in the intraoperative localization of small pancreatic neuroendocrine tumors.