Laparoscopic anatomical liver resection guided by real-time indocyanine green fluorescence imaging: experience and lessons learned from the initial series in a single center

Xu, Yiling; Chen, Mingyi; Meng, Xiangjun; Lu, Peng; Wang, Xun; Zhang, Wenwen; Luo, Ying; Duan, Weidong; Lu, Shichun; Wang, Hongguang

doi:10.1007/s00464-020-07691-5

Cited by 57 publications

(48 citation statements)

References 33 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In laparoscopic anatomical resection of liver S8, the main di culty lies in the choice of surgical approach. The choice of laparoscopic surgical approach for anatomical resection of liver S8 is not simply a "road of entry" but a series of strategic decisions on how to accomplish the surgical goals while ensuring the safety and effectiveness of the surgery [10].…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic Anatomical Resection of Liver Segment 8 via a Hepatic Parenchymal Transection-first Approach Guided by the Middle Hepatic Vein

You

et al. 2021

Preprint

View full text Add to dashboard Cite

Background Although recent technological developments and improved endoscopic procedures have further extended the application of laparoscopic liver resection, pure laparoscopic anatomic resection of liver segment 8 (S8) is still rarely performed due to the lack of an appropriate surgical approach. This article discusses the technical tips and operation methods for laparoscopic anatomical resection of liver S8 via a hepatic parenchymal transection-first approach.Methods Clinical data of 14 patients who underwent laparoscopic anatomical resection of liver segment 8 via a hepatic parenchymal transection-first approach guided by the middle hepatic vein (MHV) in the Second Affiliated Hospital, Third Military Medical University (Army Medical University) from May 2017 to December 2019 were retrospectively analyzed. The operation time, intraoperative blood loss, postoperative complications, and hospitalization duration were observed.Results The operation was successful with no complications. No other abnormality was noted during outpatient follow-up examination.Conclusions Laparoscopic anatomical resection of liver S8 is still quite challenging at present, and it is our goal to design a reasonable procedure with accurate efficacy and high safety. We use hepatic parenchymal transection-first approach guided by the MHV for laparoscopic anatomical resection of liver S8. This technique overcomes the problem of high technical risk, greatly reduces the surgical difficulty and achieves technological breakthroughs, but there are still many problems worth further exploration.

show abstract

Section: Discussionmentioning

confidence: 99%

Laparoscopic Anatomical Resection of Liver Segment 8 via a Hepatic Parenchymal Transection-first Approach Guided by the Middle Hepatic Vein

You

et al. 2021

Preprint

View full text Add to dashboard Cite

show abstract

“…In 11 articles, 18,59,67,70,77-83 the importance of using IOUS was highlighted and its evolution through the years was described, despite its application during MILS requiring further skills as compared to open surgery. In addition, the various intraoperative use of the indocyanine green (ICG) was assessed in 24 articles, 53,75,[80][81][82][84][85][86][87][88][89][90][91][92][93][94][95][96][97][98][99][100][101][102][103] the portal dye injection in eight articles, 18,70,79,83,94,98,104,105 and contrast-enhanced ultrasonography in three articles, 79,80,82 when performing ALR.…”

Section: Liver Surface or Intrahepatic Anatomic Structuresmentioning

confidence: 99%

Landmarks to identify segmental borders of the liver: A review prepared for PAM‐HBP expert consensus meeting 2021

Wakabayashi

Cacciaguerra

Ciria

et al. 2021

J Hepato Biliary Pancreat

View full text Add to dashboard Cite

Background:In preparation for the upcoming consensus meeting in Tokyo in 2021, this systematic review aimed to analyze the current available evidence regarding surgical anatomy of the liver, focusing on useful landmarks, strategies and technical tools to perform precise anatomic liver resection (ALR). Methods: A systematic review was conducted on MEDLINE/PubMed for English articles and on Ichushi database for Japanese articles until September 2020. The quality assessment of the articles was performed in accordance with the Scottish Intercollegiate Guidelines Network (SIGN). Results: A total of 3169 manuscripts were obtained, 1993 in English and 1176 in Japanese literature. Subsequently, 63 English and 20 Japanese articles were selected and reviewed. The quality assessment of comparative series and case series was revealed to be usually low; only six articles were qualified as high quality. Forty-two articles focused on analyzing intersegmental/sectional planes and their relationship

show abstract

“…14 Currently, ICG fluorescence imaging technology is widely applied in hepatobiliary surgery, including tumor recognition, 15 visualization of the extrahepatic bile duct during laparoscopic cholecystectomy, 16 living donor hepatectomy, 17 and liver segment staining during anatomical liver resection. 18,19 No study has investigated the application of a near-infrared (NIR) ICG fluorescence tracer-guided imaging system to laparoscopic LND of iCCA. Herein, we report a pilot clinical exploration of ICG fluorescence imaging for identifying the regional lymphatic drainage patterns of the liver, and its potential to help define the scope of LND in patients with iCCA.…”

Section: Introductionmentioning

confidence: 99%

Clinical application of indocyanine green fluorescence imaging in laparoscopic lymph node dissection for intrahepatic cholangiocarcinoma: A pilot study (with video)

Zhang

Zhu

et al. 2022

Surgery

View full text Add to dashboard Cite

Background: Intrahepatic cholangiocarcinoma is a highly lethal malignancy characterized by lymph node metastasis. This study aimed to evaluate the efficacy of indocyanine green fluorescence for visualization of lymphatic drainage and to assess its clinical application during laparoscopic lymph node dissection for intrahepatic cholangiocarcinoma. Methods: All patients with intrahepatic cholangiocarcinoma who underwent laparoscopic left hepatectomy and lymph node dissection between October 2018 and January 2021 were reviewed. The patients were assigned to the indocyanine green group or noneintrahepatic cholangiocarcinoma group based on the staining technique used. Results: Of 38 patients with left hemiliver intrahepatic cholangiocarcinoma, 20 underwent intrahepatic cholangiocarcinoma tracer-guided laparoscopic radical left hepatectomy; 12 procedures were successful (indocyanine green group). During the same period, 18 patients were treated with traditional laparoscopic resection (control group). Their intraoperative factors were comparable and there were no differences in the incidence or severity of their postoperative complications 30 days after surgery (P > .05). In the indocyanine green group, more lymph nodes were harvested (mean [range]: 7.0 [6.0e8.0] vs 3.5 [3.0e5.0], P < .001) and the proportion of confirmed pathologic lymph nodes was higher (75.0%, 66.7% e87.5% vs 40%, 33.3%e50.0%, P < .001). ICG staining was observed in all (12/12, 100%) patients in the intrahepatic cholangiocarcinoma group at stations 8 and 12, and 9 (9/12, 75%) and 10 (11/12, 91.7%) patients at Stations 13 and 7, respectively. Conclusion:The indocyanine green fluorescence imaging system is feasible, safe, and effective for tracing lymph nodes. It can be used to identify regional lymphatic drainage patterns and help define the scope of lymph node dissection in patients with intrahepatic cholangiocarcinoma.

show abstract

Laparoscopic anatomical liver resection guided by real-time indocyanine green fluorescence imaging: experience and lessons learned from the initial series in a single center

Cited by 57 publications

References 33 publications

Laparoscopic Anatomical Resection of Liver Segment 8 via a Hepatic Parenchymal Transection-first Approach Guided by the Middle Hepatic Vein

Laparoscopic Anatomical Resection of Liver Segment 8 via a Hepatic Parenchymal Transection-first Approach Guided by the Middle Hepatic Vein

Landmarks to identify segmental borders of the liver: A review prepared for PAM‐HBP expert consensus meeting 2021

Clinical application of indocyanine green fluorescence imaging in laparoscopic lymph node dissection for intrahepatic cholangiocarcinoma: A pilot study (with video)

Contact Info

Product

Resources

About