Laparoscopic ICG-guided ralpps procedure for HCC on cirrhosis with 3D reconstruction implementation: a case report

Pegoraro, Francesca; Montalti, Roberto; Rompianesi, Gianluca; Giglio, Mariano Cesare; Troisi, Roberto

doi:10.20517/2394-5079.2020.142

Cited by 2 publications

(3 citation statements)

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“…Для уменьшения частоты послеоперационных осложнений, наряду с рутинным применением ИОУЗИ, широко внедряют флюоресцентную ИЦЗ-диагностику как для контрастирования опухоли, сосудов и протоков, так и для определения границ резекции [18][19][20]. Поскольку пациентам с выраженным ЦП необходимо выполнять экономные анатомические резекции, внедряют методы сегментации.…”

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Minimally invasive surgery for hepatocellular carcinoma

et al. 2022

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Aim. To evaluate outcomes of laparoscopic liver resections in patients with hepatocellular carcinoma (HCC).Materials and methods. 40 endovideosurgical liver resections were performed in patients with HCC in the period of 2011–2021. Concomitant cirrhosis was detected in 36 cases (90%).Results. The average duration of surgery was 158.1 ± 78.6 min. The duration of anatomical lobar resections appeared to be the longest – 230 min. The average volume of intraoperative blood loss was 259.5 ± 260.5 ml, which almost excluded blood transfusions. The duration of hospitalization comprised 11.2 ± 2.3 days. One-year survival was achieved in 95% of cases, two-year – in 81%, three-year – in 64%.Conclusion. Laparoscopic liver resections in hepatocellular carcinoma prove to be safe and provide satisfactory surgical and oncological outcomes.

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Minimally invasive surgery for hepatocellular carcinoma

et al. 2022

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“…Some surgical series support the association of ICG and 3D reconstruction, and their benefits appear to particularly combine during complex hepato-biliary procedures. 23 – 25 …”

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confidence: 99%

“…Some surgical series support the association of ICG and 3D reconstruction, and their benefits appear to particularly combine during complex hepato-biliary procedures. [23][24][25] This study aims to evaluate the intraoperative role of ICG fluorescence and preoperative 3D reconstruction in laparoscopic adrenalectomy in terms of perioperative outcomes.…”

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confidence: 99%

The Role of Intraoperative Indocyanine Green (ICG) and Preoperative 3-Dimensional (3D) Reconstruction in Laparoscopic Adrenalectomy: A Propensity Score-matched Analysis

Palomba

Dinuzzi

Pegoraro

et al. 2022

Surgical Laparoscopy, Endoscopy &Amp; Percutaneous Techniques

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Background: Laparoscopic adrenalectomy (LA) is considered the "gold standard" treatment of adrenal lesions that are often coincidentally diagnosed during the radiologic workup of other diseases. This study aims to evaluate the intraoperative role of indocyanine green (ICG) fluorescence associated with preoperative 3-dimensional reconstruction (3DR) in laparoscopic adrenalectomy in terms of perioperative outcomes. To our knowledge, this is the first prospective case-controlled report comparing these techniques.Materials and Methods: All consecutive patients aged ≥ 18 and undergoing laparoscopic transperitoneal adrenalectomy for all adrenal masses from January 1, 2019 to January 31, 2022 were prospectively enrolled. Patients undertaking standard LA and those undergoing preoperative 3D reconstruction and intraoperative ICG fluorescence were matched through a one-on-one propensity score matching analysis (PSM) for age, gender, BMI, CCI score, ASA score, lesion histology, tumor side, and lesion diameter. Differences in operative time, blood loss, intraoperative and postoperative complications, conversion rate, and length of stay were analyzed.Results: After propensity score matching analysis, we obtained a cohort of 36 patients divided into 2 groups of 18 patients each. The operative time and intraoperative blood loss were shorter in patients of the 3DR group (P = 0,004 and P = 0,004, respectively). There was no difference in terms of length of stay, conversion rate, and intraoperative and postoperative complications between the 2 groups.Conclusions: The use of intraoperative ICG in LA and preoperative planning with 3DR images is a safe and useful addition to surgery. Furthermore, we observed a reduction in terms of operating time and intraoperative blood loss.

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Laparoscopic ICG-guided ralpps procedure for HCC on cirrhosis with 3D reconstruction implementation: a case report

Cited by 2 publications

References 28 publications

Minimally invasive surgery for hepatocellular carcinoma

Minimally invasive surgery for hepatocellular carcinoma

The Role of Intraoperative Indocyanine Green (ICG) and Preoperative 3-Dimensional (3D) Reconstruction in Laparoscopic Adrenalectomy: A Propensity Score-matched Analysis

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