Case report: How I do it? Laparoscopic hepatectomy with transcatheter arterial ICG staining for hepatolithiasis review

Jingyi Xu; Jingyi Xu; Xinye Qian; Wei Yang; Fei Yu; Yufan Yang; Wang Hu; Lu Gao; Shuang Wang; Liusheng Wu; Yutong Zhao; Lei Yang; Lin Zhang; Jun Yan

doi:10.3389/fmed.2024.1470120

Frontiers in Medicine (Nov 2024)

Case report: How I do it? Laparoscopic hepatectomy with transcatheter arterial ICG staining for hepatolithiasis review

Jingyi Xu,
Jingyi Xu,
Xinye Qian,
Wei Yang,
Fei Yu,
Yufan Yang,
Wang Hu,
Lu Gao,
Shuang Wang,
Liusheng Wu,
Yutong Zhao,
Lei Yang,
Lin Zhang,
Jun Yan

Affiliations

Jingyi Xu: Center of Hepatobiliary Pancreatic Disease, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua University, Beijing, China
Jingyi Xu: Department of General Surgery, The First People's Hospital of Shuangliu District, West China (Airport) Hospital Sichuan University, Chengdu, China
Xinye Qian: Department of Algology, Zhongshan Hospital, Fudan University, Shanghai, China
Wei Yang: Center of Hepatobiliary Pancreatic Disease, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua University, Beijing, China
Fei Yu: Center of Hepatobiliary Pancreatic Disease, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua University, Beijing, China
Yufan Yang: Center of Hepatobiliary Pancreatic Disease, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua University, Beijing, China
Wang Hu: Center of Hepatobiliary Pancreatic Disease, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua University, Beijing, China
Lu Gao: Department of Basic Medicine, Beijing Health Vocational College, Beijing, China
Shuang Wang: Center of Hepatobiliary Pancreatic Disease, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua University, Beijing, China
Liusheng Wu: Center of Hepatobiliary Pancreatic Disease, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua University, Beijing, China
Yutong Zhao: Center of Hepatobiliary Pancreatic Disease, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua University, Beijing, China
Lei Yang: Center of Hepatobiliary Pancreatic Disease, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua University, Beijing, China
Lin Zhang: Center of Hepatobiliary Pancreatic Disease, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua University, Beijing, China
Jun Yan: Center of Hepatobiliary Pancreatic Disease, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua University, Beijing, China

DOI: https://doi.org/10.3389/fmed.2024.1470120
Journal volume & issue: Vol. 11

Abstract

Read online

BackgroundHepatolithiasis is regarded as the presence of stones in the intrahepatic bile ducts. Recurrent inflammation of bile ducts can bring many bad effects. How to completely remove stones is still a challenge.PresentationA 66-year-old male went to our hospital because of hepatolithiasis and choledocholithiasis. Selective hepatic arteriography and transcatheter arterial embolization followed by laparoscopic watershed hepatectomy under fluorescent navigation and laparoscopic common bile duct exploration on mass removal are performed.Clinical discussionFor patients who suffer from hepatolithiasis, the main treatment principles of the operation are to remove the stones, correct the stenosis, and prevent recurrence. The laparoscopic watershed hepatectomy under fluorescent navigation can provide important support for precision liver surgery, which can give some suggestions for future hepatectomy.ConclusionBased on the three-dimensional (3D) visual watershed analysis, trans-arterial DSA positive fluorescence navigation has some advantages, which successfully overcome the shortcomings of the reverse staining method and the positive staining method.

Published in Frontiers in Medicine

ISSN: 2296-858X (Online)
Publisher: Frontiers Media S.A.
Country of publisher: Switzerland
LCC subjects: Medicine: Medicine (General)
Website: http://www.frontiersin.org/journals/medicine

About the journal

Abstract

Keywords