AI Article Synopsis

  • This study analyzed data from 107 brain glioma patients to evaluate how sodium fluorescein-guided microsurgery affects cognitive function and short-term recovery.
  • The research group showed better outcomes, such as shorter surgery time, less blood loss, and improved cognitive scores compared to the control group which had routine surgery.
  • The findings suggest that while both groups had similar complication rates, the use of sodium fluorescein may enhance patients' quality of life and cognitive abilities without sacrificing long-term survival.

Article Abstract

This study conducted a retrospective analysis on 107 brain glioma patients treated from January 2018 to February 2020 to assess the impact of sodium fluorescein-guided microsurgery on postoperative cognitive function and short-term outcomes. Patients were divided into two groups: a control group (n=50 patients) undergoing routine surgery and a research group (n=57 patients) receiving sodium fluorescein-guided microsurgery. The study compared postoperative total resection rates, changes in cognitive scores, and neuropeptide levels in cerebrospinal fluid between the groups. The findings revealed that the research group experienced shorter surgical time and hospitalization duration, reduced blood loss, and higher total resection rates compared to the control group. Furthermore, the research group demonstrated improvements in cognitive scores and an increase in neuropeptide levels after surgery. There was no significant difference in the comparison of the incidence of postoperative complications between the two groups. The WHO classification and preoperative performance scores were independent prognostic factors for the evaluation of 3-year survival, highlighting the clinical significance of sodium fluorescein-guided microsurgery in improving quality of life and cognitive functions of patients without compromising their long-term survival outcomes.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11076256PMC
http://dx.doi.org/10.62347/WFSK7541DOI Listing

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Article Synopsis
  • Brain metastases often leave residual tumors even after surgery, which can lead to recurrence and affect survival rates, prompting exploration of fluorescence-guided surgery (FGS) using sodium fluorescein (FL).
  • A systematic review involving 970 patients revealed that FL-guided surgery significantly improved the rate of gross total resection (GTR) and was correlated with enhanced overall survival outcomes.
  • The findings indicate that utilizing FL in surgery is effective for achieving better tumor removal without major complications reported in the studies assessed.
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Purpose: Recent studies have investigated if the sodium fluorescein-guided (SFg) improves the extent of resection of BMs when compared to standard white light (sWL). Therefore, we aimed to assess the comparative efficacy and safety of SFg and sWL for resection of BMs.

Methods: We searched Medline, Embase, and Cochrane Library databases following Cochrane and PRISMA guidelines for studies reporting comparative data of SFg and WL resection of BMs.

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Background: In this study, we evaluated the feasibility of the sentinel lymph node (SLN) identification rate (SLN-IR) of fluorescein-guided sentinel lymph node biopsy (SLNB) in combination with methylene blue dye (MBD) and factors which can lead to a false negative rate (FNR) threshold of 10%.

Methods: This was a prospective cross-sectional non-randomized validation study in patients with post-neoadjuvant chemotherapy (NACT) clinically node negative axilla who were node positive prior to start of NACT. Patients underwent validation of SLNB using fluorescein (and blue LED light) and MBD.

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Background/aim: Awake craniotomy (AC) maximizes the resection of lesions in eloquent brain areas while preserving functionality. Tumor delineation with intraoperative use of sodium fluorescein (NaFl) facilitates total resection. When used with AC, it may allow for safe resection without increasing the risk of postoperative neurologic deficits.

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Purpose: The vital function of eloquent and deep brain areas necessitates precise treatment for tumors located in these regions. Fluorescein-guided surgery (FGS) has been widely used for high-grade gliomas (HGGs) resection. Nevertheless, the safety and efficacy of utilizing this technique for resecting brain tumors located in eloquent and deep-seated areas remain uncertain.

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