Hepatic resection for the right hepatic vein drainage area with indocyanine green fluorescent imaging navigation.
extended posterior hepatectomy
fluorescence-guided surgery
hepatic congestion
hepatic vein drainage area
indocyanine green
Journal
Journal of hepato-biliary-pancreatic sciences
ISSN: 1868-6982
Titre abrégé: J Hepatobiliary Pancreat Sci
Pays: Japan
ID NLM: 101528587
Informations de publication
Date de publication:
Jul 2020
Jul 2020
Historique:
received:
31
08
2019
revised:
30
01
2020
accepted:
16
02
2020
pubmed:
19
2
2020
medline:
17
7
2021
entrez:
19
2
2020
Statut:
ppublish
Résumé
Right hepatic vein (RHV) drainage area resection is performed for intrahepatic tumors. However, borders of RHV drainage areas are difficult to identify. We evaluated the usefulness of indocyanine green (ICG) fluorescent images to identify the borders for RHV drainage area resection. From January 2016 to May 2019, we included 12 patients who underwent hepatic resection of the RHV drainage area, which was evaluated using ICG fluorescence images after clamping the RHV and with or without clamping the proper hepatic artery (PHA). The resected liver volume was compared with the preoperative simulated resected liver volume by 3-dimensional computed tomography. Eleven borders of the RHV drainage area between the middle hepatic vein (MHV) or inferior RHV drainage area were confirmed using ICG fluorescent images in 12 patients. The borders were observable by only clamping the RHV. In one patient, the border could not be identified because there was a shunt between the RHV and MHV at the peripheral area. Resected liver volume was significantly correlated with the results of preoperative simulation. The RHV drainage area resection could be one of the options of hepatic resection for the tumor involving the root of the RHV. ICG fluorescent imaging in hepatic resection of the RHV drainage area is useful for determining areas of liver congestion and clamping the PHA is not always necessary.
Sections du résumé
BACKGROUND/PURPOSE
OBJECTIVE
Right hepatic vein (RHV) drainage area resection is performed for intrahepatic tumors. However, borders of RHV drainage areas are difficult to identify. We evaluated the usefulness of indocyanine green (ICG) fluorescent images to identify the borders for RHV drainage area resection.
METHODS
METHODS
From January 2016 to May 2019, we included 12 patients who underwent hepatic resection of the RHV drainage area, which was evaluated using ICG fluorescence images after clamping the RHV and with or without clamping the proper hepatic artery (PHA). The resected liver volume was compared with the preoperative simulated resected liver volume by 3-dimensional computed tomography.
RESULTS
RESULTS
Eleven borders of the RHV drainage area between the middle hepatic vein (MHV) or inferior RHV drainage area were confirmed using ICG fluorescent images in 12 patients. The borders were observable by only clamping the RHV. In one patient, the border could not be identified because there was a shunt between the RHV and MHV at the peripheral area. Resected liver volume was significantly correlated with the results of preoperative simulation.
CONCLUSION
CONCLUSIONS
The RHV drainage area resection could be one of the options of hepatic resection for the tumor involving the root of the RHV. ICG fluorescent imaging in hepatic resection of the RHV drainage area is useful for determining areas of liver congestion and clamping the PHA is not always necessary.
Substances chimiques
Coloring Agents
0
Indocyanine Green
IX6J1063HV
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
371-379Informations de copyright
© 2020 Japanese Society of Hepato-Biliary-Pancreatic Surgery.
Références
Itoh S, Yoshizumi T, Shirabe K, Kimura K, Okabe H, Harimoto N, et al. Functional remnant liver assessment predicts liver-related morbidity after hepatic resection in patients with hepatocellular carcinoma. Hepatol Res. 2017;47(5):398-404.
Brooke-Smith M, Figueras J, Ullah S, Rees M, Vauthey JN, Hugh TJ, et al. Prospective evaluation of the International Study Group for Liver Surgery definition of bile leak after a liver resection and the role of routine operative drainage: an international multicentre study. HPB (Oxford). 2015;17(1):46-51.
Shirabe K, Shimada M, Gion T, Hasegawa H, Takenaka K, Utsunomiya T, et al. Postoperative liver failure after major hepatic resection for hepatocellular carcinoma in the modern era with special reference to remnant liver volume. J Am Coll Surg. 1999;188(3):304-9.
Feng K, Yan J, Li X, Xia F, Ma K, Wang S, et al. A randomized controlled trial of radiofrequency ablation and surgical resection in the treatment of small hepatocellular carcinoma. J Hepatol. 2012;57(4):794-802.
Inoue Y, Saiura A, Arita J, Takahashi Y. Hepatic vein-oriented liver resection using fusion indocyanine green fluorescence imaging. Ann Surg. 2015;262(6):e98-e99.
Taketomi A, Takeishi K, Mano Y, Toshima T, Motomura T, Aishima S, et al. Total resection of the right hepatic vein drainage area with the aid of three-dimensional computed tomography. Surg Today. 2012;42(1):46-51.
Makuuchi M, Hasegawa H, Yamazaki S, Takayasu K. Four new hepatectomy procedures for resection of the right hepatic vein and preservation of the inferior right hepatic vein. Surg Gynecol Obstet. 1987;164(1):68-72.
Kondo S, Katoh H, Hirano S, Ambo Y, Tanaka E, Saito K, et al. Venous-drainage-guided selective hepatectomy: a novel approach to liver surgery. Hepatogastroenterology. 2004;51(55):1-3.
Ishizawa T, Fukushima N, Shibahara J, Masuda K, Tamura S, Aoki T, et al. Real-time identification of liver cancers by using indocyanine green fluorescent imaging. Cancer. 2009;115(11):2491-504.
Aoki T, Yasuda D, Shimizu Y, Odaira M, Niiya T, Kusano T, et al. Image-guided liver mapping using fluorescence navigation system with indocyanine green for anatomical hepatic resection. World J Surg. 2008;32(8):1763-7.
Kurihara T, Yamashita Y, Yoshida Y, Takeishi K, Itoh S, Harimoto N, et al. Indocyanine Green Fluorescent Imaging for Hepatic Resection of the Right Hepatic Vein Drainage Area. J Am Coll Surg. 2015;221(3):e49-53.
Sano K, Makuuchi M, Miki K, Maema A, Sugawara Y, Imamura H, et al. Evaluation of hepatic venous congestion: proposed indication criteria for hepatic vein reconstruction. Ann Surg. 2002;236(2):241-7.
Takahashi M, Hasegawa K, Aoki T, Seyama Y, Makuuchi M, Kokudo N. Reappraisal of the inferior right hepatic vein preserving liver resection. Dig Surg. 2014;31(4-5):377-83.
Fang CH, You JH, Lau WY, Lai EC, Fan YF, Zhong SZ, et al. Anatomical variations of hepatic veins: three-dimensional computed tomography scans of 200 subjects. World J Surg. 2012;36(1):120-4.
Kawaguchi Y, Nomura Y, Nagai M, Koike D, Sakuraoka Y, Ishida T, et al. Liver transection using indocyanine green fluorescence imaging and hepatic vein clamping. Br J Surg. 2017;104(7):898-906.
Tan Y, Zhang W, Jiang L, Yang J, Yan L. Efficacy and safety of anatomic resection versus nonanatomic resection in patients with hepatocellular carcinoma: A systemic review and meta-analysis. PLoS One. 2017;12(10):e0186930.
Cho A, Okazumi S, Makino H, Miura F, Shuto K, Mochiduki R, et al. Anterior fissure of the right liver-the third door of the liver. J Hepatobiliary Pancreat Surg. 2004;11(6):390-6.
Cho A, Okazumi S, Makino H, Miura F, Ohira G, Yoshinaga Y, et al. Relation between hepatic and portal veins in the right paramedian sector: proposal for anatomical reclassification of the liver. World J Surg. 2004;28(1):8-12.
Shirabe K, Itoh S, Yoshizumi T, Soejima Y, Taketomi A, Aishima S, et al. The predictors of microvascular invasion in candidates for liver transplantation with hepatocellular carcinoma-with special reference to the serum levels of des-gamma-carboxy prothrombin. J Surg Oncol. 2007;95(3):235-40.
Okuno A, Kimura F, Nakagawa K, Shimizu H, Yoshidome H, Ohtsuka M, et al. Effects of partial hepatic venous congestion on hepatic hemodynamics and histology. Hepatogastroenterology. 2010;57(97):127-33.
Hidaka H, Iwakiri Y. Hepatic congestion leads to fibrosis: findings in a newly developed murine model. Hepatology. 2015;61(2):428-30.
Simonetto DA, Yang HY, Yin M, de Assuncao TM, Kwon JH, Hilscher M, et al. Chronic passive venous congestion drives hepatic fibrogenesis via sinusoidal thrombosis and mechanical forces. Hepatology. 2015;61(2):648-59.
Ninomiya M, Shirabe K, Kayashima H, Ikegami T, Nishie A, Harimoto N, et al. Functional assessment of the liver with gadolinium-ethoxybenzyl-diethylenetriamine penta-acetate-enhanced MRI in living-donor liver transplantation. Br J Surg. 2015;102(8):944-51.
Kayashima H, Shirabe K, Morita K, Hashimoto N, Ikegami T, Yoshizumi T, et al. Liver regeneration and venous collateral formation in the right lobe living-donor remnant: segmental volumetric analysis and three-dimensional visualization. Transplantation. 2013;95(2):353-60.
Kawaguchi Y, Ishizawa T, Miyata Y, Yamashita S, Masuda K, Satou S, et al. Portal uptake function in veno-occlusive regions evaluated by real-time fluorescent imaging using indocyanine green. J Hepatol. 2013;58(2):247-53.