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

J Gastrointest Surg. 2019 Nov;23(11):2312-2313. doi: 10.1007/s11605-019-04280-3. Epub 2019 Jun 13.

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: Image-guided surgery; Indocyanine green fluorescence; Robotic liver surgery.

Publication types

  • Technical Report
  • Video-Audio Media

MeSH terms

  • Coloring Agents / pharmacology
  • Hepatectomy / methods*
  • Humans
  • Indocyanine Green / pharmacology*
  • Liver Neoplasms / diagnosis
  • Liver Neoplasms / surgery*
  • Robotic Surgical Procedures / methods*
  • Surgery, Computer-Assisted / methods*

Substances

  • Coloring Agents
  • Indocyanine Green