Real-Time Navigation Guidance Using Fusion Indocyanine Green Fluorescence Imaging in Laparoscopic Non-Anatomical Hepatectomy of Hepatocellular Carcinomas at Segments 6, 7, or 8 (with Videos)

Medical Science Monitor : International Medical Journal of Experimental and Clinical Research
Yu ZhouZhixiang Jian

Abstract

BACKGROUND The right area and posterior area of the liver are considered relatively unfavorable portions for laparoscopic hepatectomy (LH) due to the limited gross inspection and poor tactile feedback. Fusion indocyanine green fluorescence fusion imaging (ICGFI) may be a reliable real-time navigation tool for LH. The aim of the present study was to evaluate the usefulness of ICGFI for laparoscopic non-anatomical hepatectomy in patients with hepatocellular carcinoma at the right area and posterior area. MATERIAL AND METHODS We conducted a retrospective comparison of surgical and perioperative outcomes for 21 hepatocellular carcinoma patients who had undergone LH with fusion ICGFI guidance and 21 matched patients who underwent the procedure without the guidance of ICGFI between November 2017 to August 2018. RESULTS Preoperative characteristics were comparable between the groups. Tumor fluorescence images were clearly displayed in all 21 ICGFI patients, providing precise information about tumor location. Laparoscopic parenchymal transection could be performed safely and quickly through tracing the fusion ICGFI on the cutting surface. Operation time was significantly reduced in the ICGFI group. Postoperative complications were comp...Continue Reading

Citations

Jan 24, 2021·Journal of Hepato-biliary-pancreatic Sciences·Taiga WakabayashiUNKNOWN Study Group of Precision Anatomy for Minimally Invasive Hepato-Biliary-Pancreatic surgery (PAM-HBP surgery)
May 31, 2021·Photodiagnosis and Photodynamic Therapy·Yu LiuWei Feng Gao
Jul 8, 2021·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Roberto SantambrogioMarco A Zappa

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Methods Mentioned

BETA
fluorescence fusion
fluorescence imaging

Software Mentioned

SPSS

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