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Indocyanine green fluoroscopy and liver transplantation: a new technique for the intraoperative assessment of bile duct vascularization |
Laurent Coubeau, Julie Frezin, Romain Dehon, Jan Lerut and Raymond Reding |
Starzl Unit Abdominal Transplantation, Department of Abdominal and Transplantation Surgery (Coubeau L, Frezin J, Lerut J and Reding R) and Pathology Unit (Dehon R), Cliniques Universitaires Saint Luc, Université catholique Louvain (UCL), Brussels, Belgium
Corresponding Author: Julie Frezin
(Email: julie.frezin@uclouvain.be) |
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Abstract To the Editor:
Biliary tract complications remain the Achilles’ heel of liver transplantation (LT)[1] and the transplant community is exploring ways of tackling this problem. A well-vascularized bile duct is a prerequisite for successful bile duct reconstruction. Vascular assessment is usually performed by evaluating the macroscopic aspects of both recipient and donor bile duct stumps. We present an original technique for intraoperative evaluation of the blood supply of the donor bile duct using indocyanine green (ICG) fluorescence.
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