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- Title
Application of indocyanine green-fluorescence imaging to full-thickness cholecystectomy.
- Authors
Morita, Kiyomi; Ishizawa, Takeaki; Tani, Keigo; Harada, Nobuhiro; Shimizu, Atsushi; Yamamoto, Satoshi; Takemura, Nobuyuki; Kaneko, Junichi; Aoki, Taku; Sakamoto, Yoshihiro; Sugawara, Yasuhiko; Hasegawa, Kiyoshi; Kokudo, Norihiro
- Abstract
Fluorescence imaging using indocyanine green ( ICG) has recently been applied to laparoscopic surgery to identify cancerous tissues, lymph nodes, and vascular anatomy. Here we report the application of ICG-fluorescence imaging to visualize the boundary between the liver and subserosal tissues of the gallbladder during laparoscopic full-thickness cholecystectomy. A patient with a potentially malignant gallbladder lesion was administered 2.5-mg intravenous ICG just before laparoscopic full-thickness cholecystectomy. Intraoperative fluorescence imaging enabled the real-time delineation of both extrahepatic bile duct anatomy and hepatic parenchyma throughout the procedure, which resulted in complete removal of subserosal tissues between liver and gallbladder. Safe and feasible ICG-fluorescence imaging can be widely applied to laparoscopic hepatobiliary surgery by utilizing a biliary excretion property of ICG.
- Subjects
INDOCYANINE green; FLUORESCENCE; MEDICAL imaging systems; CHOLECYSTECTOMY; BLOOD vessels; MEDICAL technology; ANATOMY
- Publication
Asian Journal of Endoscopic Surgery, 2014, Vol 7, Issue 2, p193
- ISSN
1758-5902
- Publication type
Article
- DOI
10.1111/ases.12083