Intra-operative indocyanine green fluorescence-guided re-laparoscopic choledochojejunostomy for anastomotic stones: A video vignette

Huang, Jie; Xu, Dingwei; Li, Xincheng

doi:10.1016/j.asjsur.2023.03.192

Cited by 1 publication

(3 citation statements)

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“…15 The clinical treatment of hepatolithiasis remains highly challenging. 23,24 Therefore, there is an urgent need for precise hepatectomy techniques to minimize surgical trauma and enhance prognosis. The use of 3DVT or ICG-FI has demonstrated promising applications in the treatment of liver diseases.…”

Section: Discussionmentioning

confidence: 99%

“…Previous surgery has changed the normal anatomical structure, and caused the first hepatic portal of the liver to adhere closely to the intestine. The location of the biliary-intestinal anastomosis is not easy to identify, 23 and identification based on experience alone may cause intestinal collateral damage and even lead to severe duodenal fistula. Traditional surgical methods need to find the location of bile duct and bile enterostomy by splitting the middle liver and resecting the liver square lobe, which is more traumatic.…”

Section: Discussionmentioning

confidence: 99%

“…Compared with traditional surgery, ICG-FI localization strategy of the original bile-intestinal anastomosis can reduce surgical trauma and blood loss. 23 There are still limitations to the study. This retrospective cohort study is subject to selective bias due to insufficient randomization.…”

Section: Discussionmentioning

confidence: 99%

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Efficacy of hepatectomy for hepatolithiasis using 3D visualization combined with ICG fluorescence imaging: A retrospective cohort study

Huang,

Zeng,

Zeng

et al. 2024

World j. surg.

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BackgroundHepatolithiasis is a complex condition that poses challenges and difficulties in surgical treatment. Three‐dimensional visualization technology combined with fluorescence imaging (3DVT‐FI) enables accurate preoperative assessment and real‐time intraoperative navigation. However, the perioperative outcomes of 3DVT‐FI in hepatolithiasis have not been reported. We aim to evaluate the efficacy of 3DVT‐FI in the treatment of hepatolithiasis.MethodsA retrospective analysis was performed on 128 patients who underwent hepatectomy for hepatolithiasis at the Department of Hepatobiliary Surgery, Zhujiang Hospital, between January 2017 and December 2022. Among them, 50 patients underwent hepatectomy using 3DVT‐FI (3DVT‐FI group), while 78 patients underwent conventional hepatectomy without 3DVT‐FI (CH group). The operative data, postoperative liver function indices, complication rates and stone residue were compared between the two groups.ResultsThere were no significant differences in preoperative baseline data between the two groups (p > 0.05). Compared with the CH group, the 3DVT‐FI group exhibited lower intraoperative blood loss (140.00 ± 112.12 vs. 225.99 ± 186.50 mL, p = 0.001), and a lower intraoperative transfusion rate (8.0% vs. 23.1%, p = 0.027). The overall incidence of postoperative complications did not differ significantly (22.0% vs. 35.9%, p = 0.096). The 3DVT‐FI group was associated with a lower immediate residual stone rate (16.0% vs. 34.6%, p = 0.021). There were no perioperative deaths in the 3DVT‐FI group, while one perioperative death occurred in the CH group.ConclusionsThe 3DVT‐FI may offer significant benefits in terms of surgical safety, reduced intraoperative bleeding and decreased stone residue during hepatectomy for hepatolithiasis.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%