Laparoscopic liver cyst fenestration with real-time indocyanine green fluorescence-guided surgery: a case report.
Hepatobiliary surgery
Journal
Journal of surgical case reports
ISSN: 2042-8812
Titre abrégé: J Surg Case Rep
Pays: England
ID NLM: 101560169
Informations de publication
Date de publication:
May 2021
May 2021
Historique:
received:
30
03
2021
revised:
18
04
2021
accepted:
19
04
2021
entrez:
24
5
2021
pubmed:
25
5
2021
medline:
25
5
2021
Statut:
epublish
Résumé
Laparoscopic fenestration (LF) has recently been considered a standard procedure for nonparasitic symptomatic liver cysts. Here, we report a case of LF that was safely performed using real-time indocyanine green (ICG) fluorescence-guided surgery. A 74-year-old woman presented with right upper abdominal pain and poor dietary intake. The patient was diagnosed with symptomatic liver cysts and underwent LF. One hour before surgery, ICG (2.5 mg) was intravenously administered to the patient. ICG fluorescence imaging clearly showed the biliary ducts and distinguished the cysts from the liver parenchyma. We could resect only the cyst walls as wide as possible under the guidance of both white light and fluorescence imaging. There were no signs of postoperative symptom recurrence. Detection of ICG fluorescence in the liver parenchyma is as important as ICG cholangiography for fenestration. Laparoscopic liver cyst fenestration with real-time ICG fluorescence-guided surgery is safe and can be used as a standard procedure.
Identifiants
pubmed: 34025978
doi: 10.1093/jscr/rjab196
pii: rjab196
pmc: PMC8128400
doi:
Types de publication
Case Reports
Langues
eng
Pagination
rjab196Informations de copyright
Published by Oxford University Press and JSCR Publishing Ltd. © The Author(s) 2021.
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