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Liver Parenchymal Staining Using Fusion ICG Fluorescence Imaging

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ICG Fluorescence Imaging and Navigation Surgery

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Abstract

Anatomic liver resection is established in treating hepatocellular carcinoma or other malignancies to achieve curability and functional preservation. However, the conventional demarcation technique marks only the organ surface and sometimes fails to execute a completely valid demarcation. In this chapter, we describe the efficacy of anatomical liver resection guided by fused images comprising a macroscopic view and indocyanine green fluorescence imaging (IGFI). This method called as fusion IGFI employs a fluorescence imaging system (HyperEye Medical System, Mizuho Ikakogyo Co., LTD, Japan) able to fuse images from the macroscopic and near-infrared ray views on a single monitor. Fusion IGFI includes three approaches of staining, i.e., IV method, PV method, and vein-oriented method, and is a safe imaging technique for anatomic liver resection that attained valid three-dimensional parenchymal demarcation with better feasibility and clearer demarcation than conventional demarcation technique.

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Abbreviations

HCC:

Hepatocellular carcinoma

IGFI:

Indocyanine green fluorescence imaging

HEMS:

HyperEye Medical System

ICG:

Indocyanine green

IOUS:

Intraoperative ultrasonography

CE:

Contrast enhanced

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Author information

Authors and Affiliations

  1. Department of Gastrointestinal Surgery, Cancer Institute Hospital, Japanese Foundation for Cancer Research, 3-8-31 Ariake, Koto-ku, Tokyo, 135-8550, Japan

    Yosuke Inoue M.D., Ph.D., Takeaki Ishizawa M.D., Ph.D. & Akio Saiura M.D., Ph.D.

Authors
  1. Yosuke Inoue M.D., Ph.D.
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  2. Takeaki Ishizawa M.D., Ph.D.
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  3. Akio Saiura M.D., Ph.D.
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Corresponding author

Correspondence to Yosuke Inoue M.D., Ph.D. .

Editor information

Editors and Affiliations

  1. Department of Surgery, Seiwa Memorial Hospital, Sapporo, Hokkaido, Japan

    Mitsuo Kusano

  2. Hepato-Biliary-Pancreatic Surgery Divisi, University of Tokyo, TOKYO 113-8655, Tokyo, Japan

    Norihiro Kokudo

  3. Department of Breast Surgery Graduate Sc, Kyoto University, Kyoto, Kyoto, Japan

    Masakazu Toi

  4. Department of Surgery, Hirakata Hospital, Kansai Medical University, Hirakata, Osaka, Japan

    Masaki Kaibori

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Inoue, Y., Ishizawa, T., Saiura, A. (2016). Liver Parenchymal Staining Using Fusion ICG Fluorescence Imaging. In: Kusano, M., Kokudo, N., Toi, M., Kaibori, M. (eds) ICG Fluorescence Imaging and Navigation Surgery. Springer, Tokyo. https://doi.org/10.1007/978-4-431-55528-5_26

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  • DOI: https://doi.org/10.1007/978-4-431-55528-5_26

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  • Publisher Name: Springer, Tokyo

  • Print ISBN: 978-4-431-55527-8

  • Online ISBN: 978-4-431-55528-5

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