Outcomes of Gas-Forming Pyogenic Liver Abscess (PLA) Are Comparable to Non-Gas-Forming PLA in the Era of Multimodal Care: A Propensity Score Matched Study

Abstract

The boundary between the anterior and posterior segments is not always a plain along RHV. It was presumed that intraoperative color change and RHV could not accurately indicate the boundaries of left hepatic trisectionectomy. Methods: After the treatment of hilar portal vein, 0.25 mg ICG was intravenously administered prior to the parenchymal resection. It was possible to confirm the liver parenchyma where blood flow remained by the ICG camera. Even when the condition of the liver surface was poor such as after PTCD or PVE, the planned incision line was described accurately. Conclusion: By using the ICG fluorescence method, it was easy to recognize the posterior section that remaining blood flow, and the left hepatic trisectionectomy was completed more safely.