Laparoscopic left hepatectomy, anatomical resection with NIRF negative contrast

Huang, Shih-Wei; Ou, Jing‐Jim; Wong, Hon Phin

doi:10.21037/asvide.2018.859

Cited by 2 publications

(1 citation statement)

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“…The parenchymal transection demarcation was clearer under NIRF view that even the bare area covered with coronary ligament could be clearly seen due to the penetrating property of near infrared wave that can go through a certain depth of soft tissue. Fluorescence cholangiography to identify the main bile duct confluence provide targeted signal for dissection and ligation that may avoid the risk of stricture (24). NIRF, near-infrared fluorescence.…”

Section: Identification Of Liver Lesionsmentioning

confidence: 99%

The use of indocyanine green imaging technique in patient with hepatocellular carcinoma

Huang¹,

Ou²,

Wong³

2018

Transl. Gastroenterol. Hepatol

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Near-infrared indocyanine green (ICG) fluorescence application in liver cancer surgery have been reported in the literature since 2008. To date, most reports emphasized not only to the safety, feasibility and reproducibility, but also the potential benefits of its clinical applications in term of demarcating segmentation for an anatomical resection, tumor identification to achieve tumor free resection margin, detection of small unidentifiable subcapsular nodules as well as extrahepatic metastatic lesions, and fluorescence cholangiography. The purpose of this review is to present the fundamental concept of the interpretation of fluorescence enhancement by different timing through intravascular ICG distribution to liver and biliary washout; to describe step-by-step technical aspects of its use in different purposes, and to expose the diagnostic and therapeutic perspectives of this innovative imaging technique in liver cancer surgery.

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Section: Identification Of Liver Lesionsmentioning

confidence: 99%