Presenter: Alyssa R Mowrer, MD
Authors: Alyssa R Mowrer, MD1; Katherine T Flynn-O'Brien, MD, MPH2; Mariko Suchi, MD, PhD2; David R Lal, MD, MPH2; John C Densmore, MD2; 1University of Illinois College of Medicine; 2Medical College of Wisconsin
Metastatic hepatoblastoma management in the pediatric population presents numerous challenges. Resection of pulmonary lesions has previously been described but presents several technical difficulties in both localization and surgical resection. This video illustrates the use of indocyanine green (ICG) dye and UV laser imaging to successfully identify lesions intraoperatively while maintaining a thorascopic approach for resection. One significant advantage of this novel application is increased sensitivity for lesions unidentified by pre-operative CT scan. The demonstrated technique allows for a more focused, parenchymal sparing resection of pulmonary lesions in a superficial location as compared to traditional pre-operative wire localization. This video exhibits the feasibility, safety, and improved accuracy of thorascopic hepatoblastoma metastasectomy resection augmented by use of indocyanine green.