AI Article Synopsis
- Laparoscopic anatomic segment 8 resection (LAR-S8) is challenging due to the complex structure of the Glissonean pedicle in segment 8 (G8), especially when multiple branches emerge closely together in a confusing pattern.
- This report introduces a new technique that uses indocyanine green (ICG) negative-staining to assist in accurately locating G8 during surgery, incorporating a creative method referred to as the "taping game."
- The patient underwent successful surgery with a 150-minute operative time, minimal blood loss, no complications, and was discharged after 5 days, with 24 months of follow-up showing no recurrence of issues.
Article Abstract
Background: Laparoscopic anatomic segment 8 resection (LAR-S8) remains a technical challenge due to the special location of S8 and the complex classification of the Glissonean pedicle of S8 (G8). Particularly for situations in which multiple grade 4 hepatic pedicles branch out from the same point at 360° in a dandelion pattern from the right anterior hepatic pedicle, effective methods for accurately locating the target G8 and the intersegmental plane between S8 and the adjacent hepatic segment remain lacking.
Methods: This report describes a LAR-S8 guided by the indocyanine green (ICG) negative-staining method using the "taping game for complex G8 Glissonean approach" in a patient with a typical dandelion-patterned G8.
Results: The operative time was 150 min, with a blood loss of 50 mL and no complications. The patient was discharged 5 days postoperatively. Regular follow-up evaluation during 24 months showed no recurrence.
Conclusions: The taping game is an effective method for S8 resection, especially for patients with complex G8 patterns such as the dandelion pattern.
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| http://dx.doi.org/10.1245/s10434-024-16215-7 | DOI Listing |
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