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The Applications of 3D Imaging and Indocyanine Green Dye Fluorescence in Laparoscopic Liver Surgery.

Authors :
Berardi G
Colasanti M
Meniconi RL
Ferretti S
Guglielmo N
Mariano G
Burocchi M
Campanelli A
Scotti A
Pecoraro A
Angrisani M
Ferrari P
Minervini A
Gasparoli C
Wakabayashi G
Ettorre GM
Source :
Diagnostics (Basel, Switzerland) [Diagnostics (Basel)] 2021 Nov 23; Vol. 11 (12). Date of Electronic Publication: 2021 Nov 23.
Publication Year :
2021

Abstract

Laparoscopic liver resections have gained widespread popularity among hepatobiliary surgeons and is nowadays performed for both standard and more complex hepatectomies. Given the increased technical challenges, preoperative planning and intraoperative guidance is pivotal in laparoscopic surgery to safely carry out complex and oncologically safe hepatectomies. Modern tools can help both preoperatively and intraoperatively and allow surgeons to perform more precise hepatectomies. Preoperative 3D reconstructions and printing as well as augmented reality can increase the knowledge of the specific anatomy of the case and therefore plan the surgery accordingly and tailor the procedure on the patient. Furthermore, the indocyanine green retention dye is an increasingly used tool that can nowadays improve the precision during laparoscopic hepatectomies, especially when considering anatomical resection. The use of preoperative modern imaging and intraoperative indocyanine green dye are key to successfully perform complex hepatectomies such as laparoscopic parenchymal sparing liver resections. In this narrative review, we discuss the aspects of preoperative and intraoperative tools that are nowadays increasingly used in experienced hepatobiliary centers.

Details

Language :
English
ISSN :
2075-4418
Volume :
11
Issue :
12
Database :
MEDLINE
Journal :
Diagnostics (Basel, Switzerland)
Publication Type :
Academic Journal
Accession number :
34943406
Full Text :
https://doi.org/10.3390/diagnostics11122169