Using indocyanine green fluorescence in laparoscopic surgery to identify and preserve rare branching of the right hepatic artery in pediatric congenital biliary dilatation
© 2022. The Author(s) under exclusive licence to Springer Nature Singapore Pte Ltd..
We describe a laparoscopic surgical technique using indocyanine green (ICG) fluorescence to identify and preserve rare arterial branching associated with pediatric congenital biliary dilatation. Congenital biliary dilatation with pancreaticobiliary maljunction was diagnosed in a 9-year-old girl, who presented with upper abdominal pain. Abdominal enhanced computed tomography (CT) showed that the accessory right hepatic artery (aRHA) branched from the posterior superior pancreaticoduodenal artery (PSPDA) and flowed through the right aspect of the dilated common bile duct (CBD) directly into the right lobe of the liver. We performed laparoscopic dilated biliary duct resection and hepaticojejunostomy, administering ICG intravenously, at a dose of 0.6 mg/kg. The ICG fluorescence overlay mode showed an aRHA running along the right side of the dilated CBD. The aRHA was dissected from the CBD without injury. After finishing the anastomosis, the beating of the aRHA was preserved, confirming that blood flow had been maintained.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2022 |
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| Erschienen: |
2022 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:52 |
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| Enthalten in: |
Surgery today - 52(2022), 10 vom: 26. Okt., Seite 1510-1513 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Masuya, Ryuta [VerfasserIn] |
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| Links: |
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| Themen: |
Aberrant right hepatic artery |
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| Anmerkungen: |
Date Completed 26.09.2022 Date Revised 26.09.2022 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1007/s00595-022-02516-5 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM340611626 |
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| 520 | |a © 2022. The Author(s) under exclusive licence to Springer Nature Singapore Pte Ltd. | ||
| 520 | |a We describe a laparoscopic surgical technique using indocyanine green (ICG) fluorescence to identify and preserve rare arterial branching associated with pediatric congenital biliary dilatation. Congenital biliary dilatation with pancreaticobiliary maljunction was diagnosed in a 9-year-old girl, who presented with upper abdominal pain. Abdominal enhanced computed tomography (CT) showed that the accessory right hepatic artery (aRHA) branched from the posterior superior pancreaticoduodenal artery (PSPDA) and flowed through the right aspect of the dilated common bile duct (CBD) directly into the right lobe of the liver. We performed laparoscopic dilated biliary duct resection and hepaticojejunostomy, administering ICG intravenously, at a dose of 0.6 mg/kg. The ICG fluorescence overlay mode showed an aRHA running along the right side of the dilated CBD. The aRHA was dissected from the CBD without injury. After finishing the anastomosis, the beating of the aRHA was preserved, confirming that blood flow had been maintained | ||
| 650 | 4 | |a Case Reports | |
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Aberrant right hepatic artery | |
| 650 | 4 | |a ICG fluorescence | |
| 650 | 4 | |a Laparoscopic surgery for congenital biliary dilatation | |
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| 700 | 1 | |a Matsukubo, Makoto |e verfasserin |4 aut | |
| 700 | 1 | |a Nakame, Kazuhiko |e verfasserin |4 aut | |
| 700 | 1 | |a Kai, Kengo |e verfasserin |4 aut | |
| 700 | 1 | |a Hamada, Takeomi |e verfasserin |4 aut | |
| 700 | 1 | |a Yano, Koichi |e verfasserin |4 aut | |
| 700 | 1 | |a Imamura, Naoya |e verfasserin |4 aut | |
| 700 | 1 | |a Hiyoshi, Masahide |e verfasserin |4 aut | |
| 700 | 1 | |a Nanashima, Atsushi |e verfasserin |4 aut | |
| 700 | 1 | |a Ieiri, Satoshi |e verfasserin |4 aut | |
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