Repeated laparoscopic liver resection using ICG fluorescent imaging for recurrent liver cancer

• DOI: 10.1016/j.lers.2021.12.002
• Publication Date: 2021-12-28T15:39:09Z
• Authors: Zheyong Li; Jingwei Cai; Junhao Zheng; Xiao Liang
• Keywords: Indocyanine Green; Surgical margin

Liver cancer is very common in China, with cumulative five-year tumor recurrence rate after a microscopically margin-negative resection of hepatocellular carcinoma up to 70%. Postoperative recurrent presents challenge for surgeons because the complexity postoperative adhesion and difficulty recognizing lesions. This study aims introduce method using an indocyanine green (ICG) fluorescent imaging technique do repeated laparoscopic liver resection. Patients received ICG between January 2017 December 2019 Department General Surgery Sir Run Shaw Hospital were analyzed retrospectively. Basic information, intraoperative complications, follow-up time collected analyzed. Totally, 35 patients median age 59 years (ranged 38–82 years) included. All minimally invasive surgery. One case was performed robotically, only two cases converted open surgery due severe adhesion. The operating 174 minutes, blood loss during 100 mL. hospital stay 5 days, range 3–55 days. In total, 32 (91.4%) showed staining by imaging, lesions visible on camera. 19.7 months, 1–40.2 months. relapse-free survival 18.5 Repeated safe promising approach treatment tumors selected patients.