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Minimally Invasive Hepatectomy

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Video Atlas of Intraoperative Applications of Near Infrared Fluorescence Imaging

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Abstract

Minimally invasive hepatectomy remains a burgeoning field. The increase in utilization of minimal access approaches for these complex cases has resulted in an increase in the number of technologies available to improve the safety and efficacy of these procedures. Near infrared fluorescence imaging is one such technology that has been shown to be successful in improving intraoperative identification of anatomic structures as well as lines of transection during resection. Applications of this technology include intraoperative administration via direct access puncture to hepatic arterial inflow versus peripheral intravenous administration just after inflow ligation to provide fluorescent guided margins for transection. A widely used approach applies preoperative administration of indocyanine green (ICG) to allow for intraoperative identification of major biliary system structures during dissection. With the use of ICG and near-infrared fluorescence-enabled optical devices, this technology has been applied to both robotic and laparoscopic approaches for the full gamut of hepatic resections. This technology has proven to be effective and will continue to provide novel techniques to improve the accuracy and safety of minimally invasive hepatectomies.

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Author information

Authors and Affiliations

  1. Department of Hepatopancreaticobiliary Surgery, Carolinas Medical Center, Atrium Health, Charlotte, NC, USA

    Jesse K. Sulzer, Patrick N. Salibi, John B. Martinie & David A. Iannitti

Authors
  1. Jesse K. Sulzer
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  2. Patrick N. Salibi
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  3. John B. Martinie
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  4. David A. Iannitti
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Corresponding author

Correspondence to David A. Iannitti .

Editor information

Editors and Affiliations

  1. Department of General Surgery, Digestive Disease and Surgery Institute Cleveland Clinic Foundation, Cleveland, OH, USA

    Essa M. Aleassa

  2. Division of General Surgery Division of Surgical Oncology MetroHealth System, Cleveland, OH, USA

    Kevin M. El-Hayek

Electronic Supplementary Material

Robotic left hepatectomy hilar dissection using near-infrared fluorescence technology (MP4 638526 kb)

Robotic right hepatectomy hilar dissection using near-infrared fluorescence technology (MP4 316205 kb)

Robotic right posterior sectionectomy hilar dissection using near-infrared fluorescence technology (MP4 211809 kb)

Laparoscopic central hepatectomy using negative near-infrared fluorescence to determine transection margins (MP4 406780 kb)

Robotic right hepatectomy using negative near-infrared fluorescence to determine transection margins (MP4 292789 kb)

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Sulzer, J.K., Salibi, P.N., Martinie, J.B., Iannitti, D.A. (2020). Minimally Invasive Hepatectomy. In: Aleassa, E., El-Hayek, K. (eds) Video Atlas of Intraoperative Applications of Near Infrared Fluorescence Imaging. Springer, Cham. https://doi.org/10.1007/978-3-030-38092-2_17

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  • DOI: https://doi.org/10.1007/978-3-030-38092-2_17

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-38091-5

  • Online ISBN: 978-3-030-38092-2

  • eBook Packages: MedicineMedicine (R0)

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