Ultrasound-guided anatomical liver resection using a compression technique combined with indocyanine green fluorescence imaging.
HPB (Oxford)
; 23(2): 206-211, 2021 02.
Article
en En
| MEDLINE
| ID: mdl-32565040
ABSTRACT
BACKGROUND:
Anatomical resection (AR) is a recommended surgical treatment for hepatocellular carcinoma (HCC). However, the conventional procedure (dye injection) for AR is difficult to reproduce. As an alternative, the tumour-feeding portal pedicle compression technique (finger-compression technique) has been proposed as an easy and reversible procedure. Here, we propose a new method combining indocyanine green (ICG) imaging with the finger-compression technique.METHODS:
Eligible patients were prospectively enrolled to undergo ICG compression (ICG-C) anatomical hepatectomy for HCC.RESULTS:
Fifteen patients underwent AR using the ICG-C technique. Overall, the surgical procedures included six segmentectomies, seven subsegmentectomies, and two right posterior sectionectomies. The median tumour size was 5.8 cm (range 2-7 cm). All procedures had an R0 margin. There were no major complications among patients, and minor morbidity occurred in three patients.CONCLUSIONS:
ICG-C is a safe, feasible and effective technique for patients eligible for AR.
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Carcinoma Hepatocelular
/
Neoplasias Hepáticas
Límite:
Humans
Idioma:
En
Año:
2021
Tipo del documento:
Article