Proceedings on Minimally Invasive Surgery
Vol 1 No 1 (2019): Proc MIC

Free Abstracts, ID 235

Laparoscopic left hemihepatectoy applying intraoperative ICG counter perfusion method for visualization

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Sebastian Rademacher (Department of Visceral-, Transplant-, Thoracic- and Vascular Surgery, University Clinic Leipzig, Germany), Robert Sucher (Department of Visceral-, Transplant-, Thoracic- and Vascular Surgery, University Clinic Leipzig, Germany), Andri Lederer (Department of Visceral-, Transplant-, Thoracic- and Vascular Surgery, University Clinic Leipzig, Germany), Hans Michael Hau (Department of Visceral-, Transplant-, Thoracic- and Vascular Surgery, University Clinic Leipzig, Germany), Tim Ole Petersen (Department of Diagnostic and Interventional Radiology), Daniel Seehofer (Department of Visceral-, Transplant-, Thoracic- and Vascular Surgery, University Clinic Leipzig, Germany)

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Abstract

Summary: Intraoperative Indocyanine green (ICG) fluorescence detection by the “counter perfusion method” is a useful tool to identify hepatic segments and intersegmental planes during anatomic liver resection. We report of a 54-year old patient with recurrent cholangitis due to Caroli disease, who underwent a laparoscopic hemihepatectomy. To determine the resection line and resection plane, we injected ICG intravenously after clamping/ligating the left hepatic artery and left portal vein. Before and during resection the liver was observed under visible light and under near-infrared (NIR) light. This method allowed for precise anatomical resection of non-perfused liver segments 2,3 and 4. ICG Visualisation is useful tool in laparoscopic liver resection.

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