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Journal of Gastrointestinal Surgery

, Volume 23, Issue 11, pp 2312–2313 | Cite as

The Application of Indocyanine Green (ICG) Staining Technique During Robotic-Assisted Right Hepatectomy: with Video

  • Marco Vito MarinoEmail author
  • Sergio Builes Ramirez
  • Marcos Gomez Ruiz
Multimedia Article
  • 156 Downloads

Abstract

Introduction

The application of indocyanine green (icg) properties in the field of HPB surgery is gaining momentum. The adoption of the staining technique for the visualization of hepatic liver parenchyma is still preliminary.

Methods

We performed a 1:1 case- matched comparison among 20 patients who underwent robotic liver resection with or without the application of icg fluorescence.

Results

The icg enabled the reduction of postoperative liver abscess and bile leakage rate. The staining technique was not time-consuming and provided excellent enhancement of liver transection line.

Conclusion

The routine use of icg-fluorescence could potentially reduce the postoperative complications during robotic liver surgery.

Keywords

Robotic liver surgery Indocyanine green fluorescence Image-guided surgery 

Abbreviations in the Video (InNin Oorder of Aappearance)

RHA

right hepatic vein

CBD

common bile duct

RPB

right portal vein

IVC

inferior vena cava

RHD

right hepatic duct

Notes

Author Contribution

All authors, Marco Vito Marino, Sergio Builes Ramirez and Marcos Gomez Ruiz gave substantial contributions to the conception or design of the work. All of them were involved in.

- Acquisition, analysis, and interpretation of data for the work;

- Drafting the work or revising it critically for important intellectual content;

- Final approval of the version to be published;

- Agreement to be accountable for all aspects of the work in ensuring that questions related to its accuracy and integrity.

Compliance with Ethical Standards

Conflict of Interest

Authors Marco Vito Marino and Sergio Builes Ramirez declare they have no conflict of interest to disclose.

Author Marcos Gomez Ruiz declare is Proctor and Advisor for Intuitive Surgical Inc., Medtronic and Johnson & Johnson.

Supplementary material

ESM 1

(MP4 293,075 kb)

References

  1. 1.
    Aoki T, Yasuda D, Shimizu Y, et al. Image-guided liver mapping using fluorescence navigation system with indocyanine green for anatomical hepatic resection. World J Surg. 2008 Aug;32(8):1763-7CrossRefGoogle Scholar
  2. 2.
    Ishizaki M, Matsui K, Kwon AH. Intraoperative indocyanine green fluorescent imaging for prevention of bile leakage after hepatic resection. Surgery. 2011 Jul;150(1):91-8.CrossRefGoogle Scholar
  3. 3.
    Makuuchi M, Hasegawa H, Yamazaki S. Ultrasonically guided subsegmentectomy. Surg Gynecol Obstet. 1985 Oct;161(4):346-50PubMedGoogle Scholar
  4. 4.
    Marino MV, Shabat G, Guarrasi D, Gulotta G, Komorowski AL. Comparative Study of the Initial Experience in Performing Robotic and Laparoscopic Right Hepatectomy with Technical Description of the Robotic Technique. Dig Surg. 2019;36(3):241-250CrossRefGoogle Scholar
  5. 5.
    Terasawa M, Ishizawa T, Mise Y, Inoue Y, Ito H, Takahashi Y, Saiura A. Applications of fusion-fluorescence imaging using indocyanine green in laparoscopic hepatectomy. Surg Endosc. 2017 Dec;31(12):5111-5118.CrossRefGoogle Scholar

Copyright information

© The Society for Surgery of the Alimentary Tract 2019

Authors and Affiliations

  • Marco Vito Marino
    • 1
    • 2
    Email author
  • Sergio Builes Ramirez
    • 2
  • Marcos Gomez Ruiz
    • 2
  1. 1.Emergency and General Surgery DepartmentAzienda Ospedaliera Ospedali Riuniti “Villa Sofia-Cervello”PalermoItaly
  2. 2.General Surgery and Digestive Surgery Department, Colorectal UnitHospital Universitario Marqués de ValdecillaSantanderSpain

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