Usefulness of intraoperative fluorescence imaging to evaluate local anatomy in hepatobiliary surgery View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2008-09

AUTHORS

Noboru Mitsuhashi, Fumio Kimura, Hiroaki Shimizu, Mizuho Imamaki, Hiroyuki Yoshidome, Masayuki Ohtsuka, Atsushi Kato, Hideyuki Yoshitomi, Satoshi Nozawa, Katsunori Furukawa, Dan Takeuchi, Tsukasa Takayashiki, Kosuke Suda, Tatsuo Igarashi, Masaru Miyazaki

ABSTRACT

Background/PurposeOne of the major complications encountered in hepatobiliary surgery is the incidence of bile duct and blood vessel injuries. It is sometimes difficult during surgery to evaluate the local anatomy corresponding to hepatic arteries and bile ducts. We investigated the potential utility of an infrared camera system as a tool for evaluating local anatomy during hepatobiliary surgery.MethodsAn infrared camera system was used to detect indocyanine green fluorescence in vitro. We also employed this system for the intraoperative fluorescence imaging of the arteries and biliary system in a pig. Further, we evaluated blood flow in the hepatic artery, portal vein, and liver parenchyma during a human liver transplant and we investigated local anatomy in patients undergoing cholecystectomy.ResultsFluorescence confirmed that indocyanine green was distributed in serum and bile. In the pig study, we confirmed the fluorescence of the biliary system for more than 1 h. In the liver transplant recipient, blood flow in the hepatic artery and portal vein was confirmed around the anastomosis. In most of the patients undergoing cholecystectomy, fluorescence was observed in the gallbladder, cystic and common bile ducts, and hepatic and cystic arteries.ConclusionsIntraoperative fluorescence imaging in hepatobiliary surgery facilitates better understanding of the anatomy of arteries, the portal vein, and bile ducts. More... »

PAGES

508

References to SciGraph publications

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00534-007-1307-5

DOI

http://dx.doi.org/10.1007/s00534-007-1307-5

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1001762969

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/18836805


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65 liver parenchyma
66 liver transplant
67 liver transplant recipients
68 local anatomy
69 major complications
70 parenchyma
71 patients
72 pig study
73 pigs
74 portal vein
75 potential utility
76 recipients
77 serum
78 study
79 surgery
80 system
81 tool
82 transplant
83 transplant recipients
84 understanding
85 usefulness
86 utility
87 vein
88 vessel injury
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