An initial report on the intraoperative use of indocyanine green fluorescence imaging in the surgical management of liver tumorss

Abstract

This is the first North American study to evaluate the potential utility of ICG during liver surgery. Its major benefit seems to be in providing real-time feedback to the surgeon about the margins of superficial tumors for resection or ablation. J. Surg. Oncol. 2016;114:625-629. © 2016 Wiley Periodicals, Inc.

Robotic vs laparoscopic hemihepatectomy: A comparative study from a single center

“…Another advantage of RH over LH is the use of ICG fluorescence imaging in robotic surgery to identify the liver parenchymal resection line and tumor location . In the laparoscopic approach, the ICG fluorescence imaging platform is independent of the laparoscopic system and requires the exchange of special instruments, which potentially increases the operative time.…”

The use of near‐infrared fluorescence imaging in endocrine surgical procedures

“…30,31 Our group has recently published a pilot study on the use of ICG in liver surgery. 32 An important point about liver surgery is the administration of ICG 24-72 h before the surgery as opposed to intraoperative administration in other procedures. In our experience, the best contrast was achieved by administering 7.5 mg ICG 24 h before surgery.…”

Different ways to manage indocyanine green fluorescence to different purposes in liver surgery: A systematic review

“…[9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26][27] A total of 718 cases were globally analyzed as study group. No side effects of ICG were reported in any articles.…”

“…Other fields of interest would be the final check of a free margin, as mentioned by Zhang et al, 27 and the detection of extra-hepatic (i.e. hepatic pedicle nodes) metastases, as described by Takahashi et al 24 With reference to the management of ICG administration, the majority of the Authors used a standard dose of 0.5 mg/kg injected during the pre-operative test aimed at liver function evaluation, as described in Table 2. The only published case-control study 25 suggests injecting 10 mg of ICG intravenously the day before surgery, which guarantees a high accuracy rate.…”