We are analyzing https://link.springer.com/article/10.1007/s00464-019-07053-w.

Title:
Use of indocyanine green (ICG) augmented near-infrared fluorescence imaging in robotic radical resection of gallbladder adenocarcinomas | Surgical Endoscopy
Description:
Gallbladder cancer remains a rare cancer with a poor prognosis. National guidelines recommend radical resection in the absence of metastatic disease. This often requires extensive dissection around the extrahepatic bile ducts. We report our experience of real-time near-infrared fluorescence imaging using indocyanine green during robotic radical resection of gallbladder adenocarcinomas. Ten patients with gallbladder adenocarcinoma underwent robotic radical resection entailing central hepatectomy (segments IV-B and V) with regional lymphadenectomy. Real-time NIRF imaging was performed using the da Vinci® Firefly system after intravenous administration of ICG 30 to 60 min preoperatively. Primary objective was to determine safety of this technique. Procedure was successfully completed in all patients. Seven patients (70%) had incidentally discovered gallbladder cancer after laparoscopic cholecystectomy and five patients had preoperatively known positive margins. Mean operative time was 173 min. Mean intraoperative blood loss was 88 mL (30–200 mL). Median number of lymph nodes retrieved was 5 (2–8). High ligation of cystic duct was performed close to the common bile duct (CBD) junction with the assist of NIRF and negative margins were achieved in all patients. No major complications (Grade III–IV) or mortality was seen at 30 days post-op. Results from our limited experience demonstrate procedural safety and beneficial use of NIRF using ICG during robotic radical resection of gallbladder adenocarcinomas. It may assist in attainment of negative cystic duct margin and lymphatic clearance around the biliary tree especially in complex re-explorative biliary surgery.
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article, google, scholar, gallbladder, cancer, surg, robotic, resection, laparoscopic, liver, radical, biliary, icg, fluorescence, imaging, surgical, indocyanine, green, cholecystectomy, duct, privacy, cookies, content, nearinfrared, ahmad, bile, patients, world, outcomes, endosc, information, publish, research, search, adenocarcinomas, ali, access, fluorescent, cholangiography, carcinoma, gastroenterol, oncol, hepatobiliary, kingham, fong, study, jarnagin, review, hpb, choi,

Topics {✒️}

org/professionals/physician_gls/pdf/hepatobiliary month download article/chapter robotic-assisted liver resection hepato-biliary-pancreat sci 17 real-time nirf imaging infrared fluorescence imaging surgical oncology propensity score-matched study common bile duct unsuspected gallbladder cancer long-term oncologic outcomes robotic radical resection robotic liver resections gallbladder cancer prognosis high-volume referral center robotic liver resection fluorescence imaging extrahepatic bile ducts laparoscopic liver resection privacy choices/manage cookies elective laparoscopic cholecystectomy full article pdf robotic liver surgery explorative biliary surgery fluorescent cholangiography gallbladder cancer van santvoort hc expert consensus statement fluorescence cholangiography biliary anatomy related subjects lymph nodes retrieved case-matched comparison requires extensive dissection chin med sci long-term outcomes rare cancer population-based study european economic area 30 days post-op systemic chemotherapy combined gonzalez-ciccarelli lf swedish inpatient registry article ahmad conditions privacy policy cystic duct grade iii–iv ali ahmad intraoperative blood loss laparoscopic cholecystectomy

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      description:Gallbladder cancer remains a rare cancer with a poor prognosis. National guidelines recommend radical resection in the absence of metastatic disease. This often requires extensive dissection around the extrahepatic bile ducts. We report our experience of real-time near-infrared fluorescence imaging using indocyanine green during robotic radical resection of gallbladder adenocarcinomas. Ten patients with gallbladder adenocarcinoma underwent robotic radical resection entailing central hepatectomy (segments IV-B and V) with regional lymphadenectomy. Real-time NIRF imaging was performed using the da Vinci® Firefly system after intravenous administration of ICG 30 to 60 min preoperatively. Primary objective was to determine safety of this technique. Procedure was successfully completed in all patients. Seven patients (70%) had incidentally discovered gallbladder cancer after laparoscopic cholecystectomy and five patients had preoperatively known positive margins. Mean operative time was 173 min. Mean intraoperative blood loss was 88 mL (30–200 mL). Median number of lymph nodes retrieved was 5 (2–8). High ligation of cystic duct was performed close to the common bile duct (CBD) junction with the assist of NIRF and negative margins were achieved in all patients. No major complications (Grade III–IV) or mortality was seen at 30 days post-op. Results from our limited experience demonstrate procedural safety and beneficial use of NIRF using ICG during robotic radical resection of gallbladder adenocarcinomas. It may assist in attainment of negative cystic duct margin and lymphatic clearance around the biliary tree especially in complex re-explorative biliary surgery.
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