Laparoscopic left hemihepatectoy applying intraoperative ICG counter perfusion method for visualization

Authors

  • Sebastian Rademacher Department of Visceral-, Transplant-, Thoracic- and Vascular Surgery, University Clinic Leipzig, Germany
  • Robert Sucher Department of Visceral-, Transplant-, Thoracic- and Vascular Surgery, University Clinic Leipzig, Germany
  • Andri Lederer Department of Visceral-, Transplant-, Thoracic- and Vascular Surgery, University Clinic Leipzig, Germany
  • Hans Michael Hau Department of Visceral-, Transplant-, Thoracic- and Vascular Surgery, University Clinic Leipzig, Germany
  • Tim Ole Petersen Department of Diagnostic and Interventional Radiology
  • Daniel Seehofer Department of Visceral-, Transplant-, Thoracic- and Vascular Surgery, University Clinic Leipzig, Germany

Keywords:

Laparoscopic liver resection, Indocyanine green, Visualisation

Abstract

Summary: Intraoperative Indocyanine green (ICG) fluorescence detection by the “counter perfusion method” is a useful tool to identify hepatic segments and intersegmental planes during anatomic liver resection. We report of a 54-year old patient with recurrent cholangitis due to Caroli disease, who underwent a laparoscopic hemihepatectomy. To determine the resection line and resection plane, we injected ICG intravenously after clamping/ligating the left hepatic artery and left portal vein. Before and during resection the liver was observed under visible light and under near-infrared (NIR) light. This method allowed for precise anatomical resection of non-perfused liver segments 2,3 and 4. ICG Visualisation is useful tool in laparoscopic liver resection.

Published

2020-02-15

Issue

Vol. 1 No. 1 (2019): Proc MIC

Section

Free Abstracts

License

Copyright (c) 2020 Proceedings on Minimally Invasive Surgery

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.