Imaged guided surgery during arteriovenous malformation of gastrointestinal stromal tumor using hyperspectral and indocyanine green visualization techniques: A case report.

Autor:	Wagner T; Clinic and Polyclinic for General, Visceral, Tumor and Transplant Surgery, University of Cologne, Cologne 50923, North Rhine Westphalia, Germany. tcwcloud@icloud.com., Mustafov O; Clinic and Polyclinic for General, Visceral, Tumor and Transplant Surgery, University of Cologne, Cologne 50923, North Rhine Westphalia, Germany., Hummels M; Clinic and Polyclinic for General, Visceral, Tumor and Transplant Surgery, University of Cologne, Cologne 50923, North Rhine Westphalia, Germany., Grabenkamp A; Clinic and Polyclinic for General, Visceral, Tumor and Transplant Surgery, University of Cologne, Cologne 50923, North Rhine Westphalia, Germany., Thomas MN; Clinic and Polyclinic for General, Visceral, Tumor and Transplant Surgery, University of Cologne, Cologne 50923, North Rhine Westphalia, Germany., Schiffmann LM; Clinic and Polyclinic for General, Visceral, Tumor and Transplant Surgery, University of Cologne, Cologne 50923, North Rhine Westphalia, Germany., Bruns CJ; Clinic and Polyclinic for General, Visceral, Tumor and Transplant Surgery, University of Cologne, Cologne 50923, North Rhine Westphalia, Germany., Stippel DL; Clinic and Polyclinic for General, Visceral, Tumor and Transplant Surgery, University of Cologne, Cologne 50923, North Rhine Westphalia, Germany., Wahba R; Clinic and Polyclinic for General, Visceral, Tumor and Transplant Surgery, University of Cologne, Cologne 50923, North Rhine Westphalia, Germany.
Jazyk:	angličtina
Zdroj:	World journal of clinical cases [World J Clin Cases] 2023 Aug 16; Vol. 11 (23), pp. 5530-5537.
DOI:	10.12998/wjcc.v11.i23.5530
Abstrakt:	Background: This case report demonstrates the simultaneous development of a gastrointestinal stromal tumour (GIST) with arteriovenous malformations (AVMs) within the jejunal mesentery. A 74-year-old male presented to the department of surgery at our institution with a one-month history of abdominal pain. Contrast-enhanced computed tomography revealed an AVM. During exploratory laparotomy, hyperspectral imaging (HSI) and indocyanine green (ICG) fluorescence were used to evaluate the extent of the tumour and determine the resection margins. Intraoperative imaging confirmed AVM, while histopathological evaluation showed an epithelioid, partially spindle cell GIST. Case Summary: This is the first case reporting the use of HSI and ICG to image GIST intermingled with an AVM. The resection margins were planned using intraoperative analysis of additional optical data. Image-guided surgery enhances the clinician's knowledge of tissue composition and facilitates tissue differentiation. Conclusion: Since image-guided surgery is safe, this procedure should increase in popularity among the next generation of surgeons as it is associated with better postoperative outcomes. Competing Interests: Conflict-of-interest statement: There are no conflicts of interest to report. (©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.)
Databáze:	MEDLINE
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