Intraoperative fluorescent cholangiography using indocyanine green for laparoscopic fenestration of nonparasitic huge liver cysts.
Asian J Endosc Surg
; 8(1): 71-4, 2015 Feb.
Article
en En
| MEDLINE
| ID: mdl-25598059
ABSTRACT
Bile duct injury is one of the known serious complications of laparoscopic fenestration for nonparasitic liver cysts. Herein, we report the case of a huge liver cyst for which we performed laparoscopic fenestration using intraoperative fluorescent cholangiography with indocyanine green. A 71-year-old woman with abdominal distention was referred to our hospital. CT demonstrated a 17 × 11.5-cm simple cyst replacing the right lobe of the liver, so laparoscopic fenestration was performed. Although the biliary duct could not be detected because of compression by the huge cyst, fluorescent cholangiography with indocyanine green through endoscopic naso-biliary drainage tube clearly delineated the intrahepatic bile duct in the remaining cystic wall. The patient had no complications at 3 months after surgery. Fluorescent cholangiography using indocyanine green is a safe and effective procedure to avoid bile duct injury during laparoscopic fenestration, especially in patients with a huge liver cyst.
Palabras clave
Texto completo:
1
Base de datos:
MEDLINE
Asunto principal:
Conductos Biliares
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Colangiografía
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Colecistectomía Laparoscópica
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Quistes
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Cirugía Asistida por Computador
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Verde de Indocianina
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Hepatopatías
Límite:
Aged
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Female
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Humans
Idioma:
En
Revista:
Asian J Endosc Surg
Año:
2015
Tipo del documento:
Article
País de afiliación:
Japón