Abstract

Various types of navigation surgery for pediatric oncology have been applied. For example, an augmented reality (AR) navigation system, three-dimensional (3D) visualization including 3D-printed model based on preoperative computed tomography (CT) and magnetic resonance imaging (MRI), and indocyanine green (ICG) navigation surgery are developing in this field. Recently, ICG navigation surgery spread to various types of pediatric surgeries, including hepatoblastoma (HB). For HB cases, the complete resection leads to a good oncological outcome, even in cases of chemotherapy-resistant lung metastasis. Thus, ICG navigation surgery, which can detect small lung metastases and confirm residual tumor cells at the resection margin, may improve the prognosis of HB. In this chapter, the current status of ICG navigation surgery for HB is described and its usefulness and limitations are introduced.

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