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World Journal of Surgery
Erschienen in: World Journal of Surgery 10/2019

20.06.2019 | Original Scientific Report with Video

The Application of Indocyanine Green Fluorescence Imaging During Robotic Liver Resection: A Case-Matched Study

verfasst von: Marco Vito Marino, Salomone Di Saverio, Mauro Podda, Marcos Gomez Ruiz, Manuel Gomez Fleitas

Erschienen in: World Journal of Surgery | Ausgabe 10/2019

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Abstract

Background

The ICG fluorescence properties are progressively gaining momentum in the HPB surgery. However, the exact impact of ICG application on surgical outcomes is yet to be established.

Methods

Twenty-five patients who underwent ICG fluorescence-guided robotic liver resection were case-matched in a 1:1 ratio to a cohort who underwent standard robotic liver resection.

Results

In the ICG group, six additional lesions not diagnosed by preoperative workup and intraoperative ultrasound were identified and resected. Four of the lesions were proved to be malignant. Despite the similar operative time (288 vs. 272 min, p = 0.778), the risk of postoperative bile leakage (0% vs. 12%, p = 0.023), R1 resection (0% vs. 16%, p = 0.019) and readmission (p = 0.023) was reduced in the ICG group compared with the no-ICG group.

Conclusions

The ICG fluorescence is a real-time navigation tool which enables surgeons to enhance visualization of anatomical structures and overcome the disadvantages of minimally invasive liver resection. The procedure is not time-consuming, and its applications can reduce the postoperative complication rate in robotic liver surgery.
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Metadaten
Titel
The Application of Indocyanine Green Fluorescence Imaging During Robotic Liver Resection: A Case-Matched Study
verfasst von
Marco Vito Marino
Salomone Di Saverio
Mauro Podda
Marcos Gomez Ruiz
Manuel Gomez Fleitas
Publikationsdatum
20.06.2019
Verlag
Springer International Publishing
Erschienen in
World Journal of Surgery / Ausgabe 10/2019
Print ISSN: 0364-2313
Elektronische ISSN: 1432-2323
DOI
https://doi.org/10.1007/s00268-019-05055-2

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