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Usefulness of ICG Fluorescence Imaging in Laparoscopic Liver Resection

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ICG Fluorescence Imaging and Navigation Surgery

Abstract

Laparoscopic liver resection (LLR) is now widely used as a minimally invasive surgical option for benign and malignant liver disease. Recent advances in LLR technique and instrumentation have enabled various procedures, including anatomic resection in liver surgery. However, the endoscopic approach is limited by its two-dimensional view, the absence of tactile sense, and the difficulty in establishing anatomic orientation, due to the use of a magnified view. Indocyanine green (ICG) fluorescence imaging is a tool for real-time surgical navigation in hepatobiliary surgery. It is useful in identifying anatomic portal parenchymal territory, localizing liver tumors, and detecting bile leakage during open liver surgery. With the development of laparoscopic fluorescence imaging systems, this technology can now be used for LLR. As LLR is increasingly adopted for treatment of liver disease, uptake of intraoperative real-time image guidance systems is likely to accelerate. The ICG fluorescence imaging system will be helpful as a surgical “third eye” in ensuring safe and precise LLR.

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Author information

Authors and Affiliations

  1. Division of General and Gastroenterological Surgery, Department of Surgery, Toho University Faculty of Medicine, 6-11-1 Omorinishi, Ota-ku, Tokyo, 143-8541, Japan

    Yuichiro Otsuka & Hironori Kaneko

Authors
  1. Yuichiro Otsuka
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  2. Hironori Kaneko
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Corresponding author

Correspondence to Hironori Kaneko .

Editor information

Editors and Affiliations

  1. Department of Surgery, Seiwa Memorial Hospital, Sapporo, Hokkaido, Japan

    Mitsuo Kusano

  2. Hepato-Biliary-Pancreatic Surgery Divisi, University of Tokyo, TOKYO 113-8655, Tokyo, Japan

    Norihiro Kokudo

  3. Department of Breast Surgery Graduate Sc, Kyoto University, Kyoto, Kyoto, Japan

    Masakazu Toi

  4. Department of Surgery, Hirakata Hospital, Kansai Medical University, Hirakata, Osaka, Japan

    Masaki Kaibori

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Otsuka, Y., Kaneko, H. (2016). Usefulness of ICG Fluorescence Imaging in Laparoscopic Liver Resection. In: Kusano, M., Kokudo, N., Toi, M., Kaibori, M. (eds) ICG Fluorescence Imaging and Navigation Surgery. Springer, Tokyo. https://doi.org/10.1007/978-4-431-55528-5_37

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  • DOI: https://doi.org/10.1007/978-4-431-55528-5_37

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  • Publisher Name: Springer, Tokyo

  • Print ISBN: 978-4-431-55527-8

  • Online ISBN: 978-4-431-55528-5

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