Real-time navigation for laparoscopic hepatectomy using image fusion of preoperative 3D surgical plan and intraoperative indocyanine green fluorescence imaging

Peng, Zhang; Luo, Han; Zhang, Wen; Yang, Jian; Zeng, Ning; Fan, Ying-Fang; Wen, Sai; Xiang, Nan; Jia, Fucang; Fang, Chihua

doi:10.1007/s00464-019-07121-1

Cited by 68 publications

(44 citation statements)

References 32 publications

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“…As a result of advances in surgical techniques, the overall intraoperative transfusion rate was low, with no difference between the groups. Although studies have shown that fluorescence navigation can reduce the incidence of bile leakage and liver abscess after hepatic segmentectomy and lobectomy [12], and minimize the postoperative hospital stay [13,14], this study did not find that ICG fluorescence navigation reduced postoperative complications or the postoperative hospital stay. However, Spearman's rank correlation and stepwise Logistic regression analysis indicated that ICG fluorescence navigation was associated with shorter operative time and less intraoperative blood loss.…”

Section: Discussioncontrasting

confidence: 73%

“…Recent studies have demonstrated the safety and efficiency of ICG fluorescence navigation in laparoscopic hepatectomy [12][13][14][15]. This study also showed that the intraoperative and postoperative indexes of the ICG-FN group were comparable to or even better than those of the non-ICG-FN group.…”

Section: Discussionsupporting

confidence: 66%

“…Its application can also improve the detection rate of liver tumor focus, especially small lesions in an early stage [9][10][11]. Moreover, laparoscopic hepatectomy using ICG fluorescence navigation is associated with less intraoperative blood loss, a lower transfusion rate, less postoperative complications, and reduced hospital stay, as well as a higher R0 resection rate to avoid a positive surgical margin [12][13][14][15].…”

Section: Introductionmentioning

confidence: 99%

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Indocyanine green fluorescence navigation in laparoscopic hepatectomy: a retrospective single-center study of 120 cases

Liang

Qian

et al. 2020

Surg Today

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Purpose To explore the role of indocyanine green (ICG) fluorescence navigation in laparoscopic hepatectomy and investigate if the timing of its administration influences the intraoperative observation. Methods The subjects of this retrospective study were 120 patients who underwent laparoscopic hepatectomy; divided into an ICG-FN group (n = 57) and a non-ICG-FN group (n = 63). We analyzed the baseline data and operative data. Results There were no remarkable differences in baseline data such as demographic characteristics, lesion-related characteristics, and liver function parameters between the groups. Operative time and intraoperative blood loss were significantly lower in the ICG-FN group. The rate of R0 resection of malignant tumors was comparable in the ICG-FN and non-ICG-FN groups, but the wide surgical margin rate was significantly higher in the ICG-FN group. The administration of ICG 0–3 or 4–7 days preoperatively did not affect the intraoperative fluorescence imaging. Operative time, intraoperative blood loss, and a wide surgical margin correlated with ICG fluorescence navigation. ICG fluorescence navigation helped to minimize intraoperative blood loss and achieve a wide surgical margin. Conclusion ICG fluorescence navigation is safe and efficient in laparoscopic hepatectomy. It helps to achieve a wide surgical margin, which could result in a better prognosis. The administration of ICG 0–3 days preoperatively is acceptable.

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Section: Discussioncontrasting

confidence: 73%

Section: Discussionsupporting

confidence: 66%

Section: Introductionmentioning

confidence: 99%

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Indocyanine green fluorescence navigation in laparoscopic hepatectomy: a retrospective single-center study of 120 cases

Liang

Qian

et al. 2020

Surg Today

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“…In this meta-analysis, only nine studies involving 808 patients were included; to date, this possibly represents the best information available to compare 3D versus 2D for LD. According to the NOS used for assessing the quality of the studies, articles included in this meta-analysis were graded with a score of 9 [19,22,25], 8 [21,23,24], or 7 [17,18,20] representing high quality concerning selection of patients, comparability, and exposure measurements. Our analysis reflects the latest surgical results.…”

Section: Discussionmentioning

confidence: 99%

“…Based on the pre-designed strategy, nine retrospective cohort studies (RCSs) [17][18][19][20][21][22][23][24][25] with a total of 808 patients for final analyses were selected ( Figure 1). Table I lists the main data extracted from these studies.…”

Section: Eligible Studies and Quality Assessment And Risk Of Biasmentioning

confidence: 99%

Three-dimensional versus two-dimensional video-assisted hepatectomy for liver disease: a meta-analysis of clinical data.

Zhang¹,

Huang²,

Cai³

et al. 2020

Videosurgery and Other Miniinvasive Techniques

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Introduction: The benefit of three-dimensional (3D) visualization for liver disease is uncertain. Aim: To evaluate the effectiveness and safety of 3D versus two-dimensional (2D) video-assisted hepatectomy for LD. Material and methods: We searched PubMed, Embase, Cochrane Library, Medline, and Web of Science for studies addressing 3D versus 2D for 2D until 30 February 2020. Study-specific effect sizes and their 95% confidence intervals (CIs) were combined to calculate the pooled value using a fixed-effects or random-effects model. Results: Nine studies with 808 patients were included. The 3D group had shorter operative time (mean difference (

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Essential updates 2020/2021: Current topics of simulation and navigation in hepatectomy

Saito

Shimada

Morine

et al. 2021

Annals of Gastroent Surgery

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Advances in perioperative care and surgical techniques have significantly improved the outcomes of liver resection during the last three decades. Liver surgery has inherent challenges, including difficult anticipation of complex and variable intrahepatic anatomy and the need for cognitive analysis by the surgeon to integrate preoperative imaging information into the operative field. Therefore, simulation and navigation techniques have been developed in this field.In preoperative simulation, three-dimensional (3D) simulation technology was developed in Germany in the early 2000s, 1 and immediately thereafter software based on an original algorithm was developed in Japan. The development of intraoperative navigation techniques may also help surgeons to perform liver resections as planned. Intraoperative navigation began with intraoperative ultrasound (US) in 1980 2 and progressed to virtual hepatectomy (Hx), [3][4][5][6][7] real-time virtual sonography, 8-12 and finally indocyanine green (ICG) fluorescence. [13][14][15][16][17][18][19][20] Thus, intraoperative navigation has gradually evolved during the past 40 y. This biannual review discusses the essential updates to simulation and navigation in Hx that occurred in the 2-y period from 2020 to 2021. | PREOPER ATIVE S IMUL ATIONPreoperative 3D simulation has enabled surgeons to obtain a great deal of information, such as detailed anatomical visualization, the

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Real-time navigation for laparoscopic hepatectomy using image fusion of preoperative 3D surgical plan and intraoperative indocyanine green fluorescence imaging

Cited by 68 publications

References 32 publications

Indocyanine green fluorescence navigation in laparoscopic hepatectomy: a retrospective single-center study of 120 cases

Indocyanine green fluorescence navigation in laparoscopic hepatectomy: a retrospective single-center study of 120 cases

Three-dimensional versus two-dimensional video-assisted hepatectomy for liver disease: a meta-analysis of clinical data.

Essential updates 2020/2021: Current topics of simulation and navigation in hepatectomy

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