Radioguided surgery of intestinal carcinoid tumor relapse. Role of SPECT-CT

Vicente, J. Serrano; Grande, M.L. Domínguez; Torre, J.R. Infante de la; Barquero, C. Durán; Bernardo, L. García; Madrid, J.I. Rayo; Andrés, Ignacio; Sánchez, R. Sánchez

doi:10.1016/s1578-200x(10)70050-4

Cited by 3 publications

(2 citation statements)

References 12 publications

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“…Also, SPECT/CT allows for better anatomical location of the lesion, facilitating the surgical approach. 6 , 8 , 9 Scintigraphy with 99mTc-pertechnetato has become the standard procedure for the diagnosis of MD, although the results of the endoscopic capsule must be evaluated. 2…”

Section: Discussionmentioning

confidence: 99%

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Rescue Radioguided Laparoscopy Surgery for Meckel's Diverticulum

et al. 2015

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The extirpation of Meckel's diverticulum (MD) via conventional or laparoscopic surgery is the definitive treatment. However, certain circumstances may modify or alter this situation and require the application of exceptional measures.We report a case under our observation who previously had an exploratory abdominal laparotomy for a suspected MD; however, the findings were negative. At that time, the diagnosis was established based on low-level gastrointestinal bleeding and isotopic tests that confirmed the existence of the diverticulum. Given the findings of gamma-graphic exploration and the previous negative surgical exploration, a decision was made to remove the lesion by laparoscopic radioguided surgery.The patient underwent bilateral laparoscopic radioguided surgery using a gamma radiation detection probe. The exploration of the abdominal cavity noted the existence of the diverticulum about 60 to 70 cm from the ileocecal valve. In this way, it was possible to proceed with the resection of the bowel loop and perform an intracorporeal anastomosis termino lateral. The postoperative course was uneventful, and the patient was discharged on the fifth postoperative day.We believe that the combination of radioguided surgery and single photon emission computed tomography/computed tomography could be useful for treating lesions in locations that are surgically difficult because of the characteristics of the lesion itself or the peculiarities of an individual patient.

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Section: Discussionmentioning

confidence: 99%

“…However, radioguided surgery is used to treat other intraabdominal lesions. Some authors described an interest in using radioguided surgery for resection of intraabdominal metastasis 9 , 10 while others have suggested the technique could be used to identify lymph node metastases and to confirm the complete resection of metastasis. 12 …”

Section: Discussionmentioning

confidence: 99%

Rescue Radioguided Laparoscopy Surgery for Meckel's Diverticulum

et al. 2015

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Radioguided surgery in neuroendocrine tumors. A review of the literature

García-Talavera

Ruano

Rioja

et al. 2014

Revista Española de Medicina Nuclear e Imagen Molecular (Englis

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Radioguided Adrenal Surgery

et al. 2015

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The laparoscopic adrenalectomy is considered as the procedure of choice for the treatment of adrenal hyperplasia and tumor lesions. However, some special situations may limit the use of this method due to the difficulty to locate the gland and perform the lesion excision.We analyze 2 patients of a left adrenal tumor, explaining how they have overcome the difficulties in both situations. The first case was a patient with a history of intra-abdominal surgery and the other patient suffered from severe obesity.We performed with the use of the gamma probe, and the 2 cases, was of great help to access and glandular localization. The help of gamma probe test was achieved in the surgical bed, that removal was complete.The use of the portable gamma probe facilitated the access to the left adrenal gland as well as conducting the glandular excision without delay, despite the difficulties due to the intra abdominal surgery caused by the previous surgery, and in the case of severe obesity.

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Radioguided surgery of intestinal carcinoid tumor relapse. Role of SPECT-CT

Cited by 3 publications

References 12 publications

Rescue Radioguided Laparoscopy Surgery for Meckel's Diverticulum

Rescue Radioguided Laparoscopy Surgery for Meckel's Diverticulum

Radioguided surgery in neuroendocrine tumors. A review of the literature

Radioguided Adrenal Surgery

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