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| Achieving laparoscopic anatomic resection for hepatocellular carcinoma by fluorescence guided positive staining of hepatic cone unit |
| Jun-Fang Deng # , Chuan-Hui Peng # , Yu Zhang, Xiao-Feng Xu, Rong-Liang Tong, Zheng-Long Zhai, Di-Yu Chen, Cheng Zhang, Li-Ming Wu, Jian Wu ∗ |
Division of Hepatobiliary Pancreatic Surgery, the First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310003, China
∗ Corresponding author.
E-mail address: drwujian@zju.edu.cn (J. Wu).
# Contributed equally |
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Abstract Laparoscopic anatomical liver resection has been increasingly reported worldwide, but how to demarcate the resection planes is technically challenging [1]. Positive staining technique with intraoperative indocyanine green (ICG)-fluorescence imaging has been introduced as an effective tool for real-time intraoperative guidance [2]. Liver anatomy is complex. Generally, liver is composed of 9 segments, each is composed of two to three subsegments, and each subsegment contains several hepatic cone units. A hepatic cone unit is dominated by a tertiary or quaternary hepatic pedicles [3].
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| [1] |
Mazzarella G, Muttillo EM, Coletta D, Picardi B, Rossi S, Rossi Del Monte S, Gomes V, Muttillo IA. Solid pseudopapillary tumor of the pancreas: A systematic review of clinical, surgical and oncological characteristics of 1384 patients underwent pancreatic surgery[J]. Hepatobiliary Pancreat Dis Int, 2024, 23(4): 331-338. |
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2024, Vol. 23 
