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CC BY 4.0 · Journal of Clinical Interventional Radiology ISVIR
DOI: 10.1055/s-0045-1801843
Case Report

Expanding the Reach of Laparoscopic Surgery: Combined Methylene Blue and Embolization Coil Marking for Preoperative Abdominal Tumor Localization

Brendan O'Sullivan
1   David Grant Medical Center, Fairfield, California, United States
,
Bradley J. McCann
1   David Grant Medical Center, Fairfield, California, United States
,
Kurtis A. Hinton
2   Rocky Vista University College of Osteopathic Medicine, Ivins, Utah, United States
,
Christopher D. Yeisley
1   David Grant Medical Center, Fairfield, California, United States
,
Prasad Krishnakurup
3   Department of Vascular Interventional Radiology, Wellspan Ephrata Community Hospital, Ephrata, Pennsylvania, United States
› Author Affiliations Funding None.
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Abstract

Small lesions present a technical challenge for surgical excision due to poor intraoperative localization laparoscopically, resulting in suboptimal outcomes such as conversion to laparotomy. Here, we present the case of a 79-year-old man who underwent computed tomography–guided localization of a small right paracolic gutter soft tissue lesion. This allowed the surgeon to easily identify the tumor laparoscopically allowing for a less invasive resection. By increasing cases performed via laparoscopy instead of an open approach, image-guided preoperative localization can lead to improved patient outcomes

Keywords

image-guided localization - small tumors - laparoscopic surgery


Publication History

Article published online:
03 February 2025

© 2025. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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  • References

  • 1 Weller WE, Rosati C. Comparing outcomes of laparoscopic versus open bariatric surgery. Ann Surg 2008; 248 (01) 10-15
    CrossrefPubMedSearch in Google Scholar
  • 2 Suzuki K, Nagai K, Yoshida J. et al. Video-assisted thoracoscopic surgery for small indeterminate pulmonary nodules: indications for preoperative marking. Chest 1999; 115 (02) 563-568
    CrossrefPubMedSearch in Google Scholar
  • 3 Rostambeigi N, Scanlon P, Flanagan S. et al. CT fluoroscopic-guided coil localization of lung nodules prior to video-assisted thoracoscopic surgical resection reduces complications compared to hook wire localization. J Vasc Interv Radiol 2019; 30 (03) 453-459
    CrossrefPubMedSearch in Google Scholar
  • 4 Krishnakurup P, Lobko I, Sung C, Siegel D. Coil or methylene blue: why not both? A novel approach at localization of lung nodules prior to wedge resection. J Vasc Interv Radiol 2017; 28 (02) S219-S220
    CrossrefPubMedSearch in Google Scholar
  • 5 Buia A, Stockhausen F, Hanisch E. Laparoscopic surgery: a qualified systematic review. World J Methodol 2015; 5 (04) 238-254
    CrossrefPubMedSearch in Google Scholar