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CASE REPORT article
Front. Med.
Sec. Hepatobiliary Diseases
Volume 11 - 2024 |
doi: 10.3389/fmed.2024.1470120
This article is part of the Research Topic Indocyanine Green Fluorescence Navigation in Liver Surgery View all articles
How I Do It: Laparoscopic Hepatectomy via Transcatheter Arterial ICG Staining for Hepatolithiasis Review
Provisionally accepted- 1 Beijing Tsinghua Changgeng Hospital, Tsinghua University, Beijing, China
- 2 The First People’s Hospital of Shuangliu District, Chengdu, Chengdu, Sichuan Province, China
- 3 Zhongshan Hospital, Fudan University, Shanghai, Shanghai Municipality, China
- 4 Beijing Health Vocational College, Beijing, Beijing Municipality, China
Background: Hepatolithiasis is regarded as the presence of stones in the intrahepatic bile ducts. Recurrent inflammation of bile ducts can bring many bad effects. How to completely remove stones is still a challenge.Presentation: A 66 years old male went to our hospital because of h hepatolithiasis and choledocholithiasis. Selective hepatic arteriography and transcatheter arterial embolization followed by laparoscopic watershed hepatectomy under fluorescent navigation and laparoscopic common bile duct exploration on mass removal is performed.Clinical discussion: For patients who suffer from hepatolithiasis, the main treatment principles of the operation are to remove the stones, correct the stenosis and prevent recurrence. The laparoscopic watershed hepatectomy under fluorescent navigation can provide important support for precision liver surgery, which can give some suggestions for future hepatectomy.Conclusions: Based on 3D visual watershed analysis, trans-arterial DSA positive fluorescence navigation has some advantages, which successfully overcomes the shortcomings of reverse staining method and positive staining method.
Keywords: Vascular intervention, Hepatolithiasis, laparoscopic hepatectomy, Arterial ICG Staining, case report
Received: 25 Jul 2024; Accepted: 21 Oct 2024.
Copyright: © 2024 Xu, Qian, Yang, Yu, Yang, Hu, Gao, Wang, Wu, Zhao, Yang, Zhang and Yan. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence:
Jingyi Xu, Beijing Tsinghua Changgeng Hospital, Tsinghua University, Beijing, China
Xinye Qian, Zhongshan Hospital, Fudan University, Shanghai, 200032, Shanghai Municipality, China
Wei Yang, Beijing Tsinghua Changgeng Hospital, Tsinghua University, Beijing, China
Fei Yu, Beijing Tsinghua Changgeng Hospital, Tsinghua University, Beijing, China
Wang Hu, Beijing Tsinghua Changgeng Hospital, Tsinghua University, Beijing, China
Lu Gao, Beijing Health Vocational College, Beijing, Beijing Municipality, China
Shuang Wang, Beijing Tsinghua Changgeng Hospital, Tsinghua University, Beijing, China
Liusheng Wu, Beijing Tsinghua Changgeng Hospital, Tsinghua University, Beijing, China
Yutong Zhao, Beijing Tsinghua Changgeng Hospital, Tsinghua University, Beijing, China
Lie Yang, Beijing Tsinghua Changgeng Hospital, Tsinghua University, Beijing, China
Lin Zhang, Beijing Tsinghua Changgeng Hospital, Tsinghua University, Beijing, China
Jun Yan, Beijing Tsinghua Changgeng Hospital, Tsinghua University, Beijing, China
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