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Application of indocyanine green‐fluorescence imaging to full‐thickness cholecystectomy
Author(s) -
Morita Kiyomi,
Ishizawa Takeaki,
Tani Keigo,
Harada Nobuhiro,
Shimizu Atsushi,
Yamamoto Satoshi,
Takemura Nobuyuki,
Kaneko Junichi,
Aoki Taku,
Sakamoto Yoshihiro,
Sugawara Yasuhiko,
Hasegawa Kiyoshi,
Kokudo Norihiro
Publication year - 2014
Publication title -
asian journal of endoscopic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.372
H-Index - 18
eISSN - 1758-5910
pISSN - 1758-5902
DOI - 10.1111/ases.12083
Subject(s) - indocyanine green , medicine , cholecystectomy , gallbladder , radiology , fluorescence lifetime imaging microscopy , bile duct , cystic duct , laparoscopic cholecystectomy , laparoscopy , surgery , fluorescence , physics , quantum mechanics
Fluorescence imaging using indocyanine green ( ICG ) has recently been applied to laparoscopic surgery to identify cancerous tissues, lymph nodes, and vascular anatomy. Here we report the application of ICG ‐fluorescence imaging to visualize the boundary between the liver and subserosal tissues of the gallbladder during laparoscopic full‐thickness cholecystectomy. A patient with a potentially malignant gallbladder lesion was administered 2.5‐mg intravenous ICG just before laparoscopic full‐thickness cholecystectomy. Intraoperative fluorescence imaging enabled the real‐time delineation of both extrahepatic bile duct anatomy and hepatic parenchyma throughout the procedure, which resulted in complete removal of subserosal tissues between liver and gallbladder. Safe and feasible ICG ‐fluorescence imaging can be widely applied to laparoscopic hepatobiliary surgery by utilizing a biliary excretion property of ICG .