Strategy of indocyanine green fluorescence staining and ultrasound application in laparos-copic anatomical liver segmentectomy
10.3760/cma.j.cn115610-20231203-00231
- VernacularTitle:腹腔镜解剖性肝段切除术中吲哚菁绿荧光染色方法选择和术中超声应用策略
- Author:
Hongguang WANG
1
;
Zhihao WANG
Author Information
1. 国家癌症中心 国家肿瘤临床医学研究中心 中国医学科学院北京协和医学院肿瘤医院肝胆外科,北京 100021
- Keywords:
Liver neoplasms;
Anatomical liver segmentectomy;
Indocyanine green fluo-rescent staining;
Intraoperative ultrasound;
Laparoscopy
- From:
Chinese Journal of Digestive Surgery
2024;23(2):228-235
- CountryChina
- Language:Chinese
-
Abstract:
With the deeper understanding of liver anatomy and the use of fluorescent laparoscopic equipment, laparoscopic anatomical liver resection has become the first choice for the treatment of liver cancer, and achieved good short-term and long-term results. Indocyanine green (ICG) fluorescence staining and intraoperative ultrasound are the two most commonly used tech-niques for real-time imaging guidance in laparoscopic anatomical liver resection, especially for the identification of three-dimensional interface between liver segments and the guidance of hepatic parenchyma dissection. Based on latest research progress, and combined with clinical practice, the authors elaborate on the selection of ICG fluorescence staining method and the application of intra-operative ultrasound in laparoscopic anatomical liver segmentectomy.