Intraoperative fluorescent cholangiography using indocyanine green for laparoscopic fenestration of nonparasitic huge liver cysts.

Abstract

Bile duct injury is one of the known serious complications of laparoscopic fenestration for nonparasitic liver cysts. Herein, we report the case of a huge liver cyst for which we performed laparoscopic fenestration using intraoperative fluorescent cholangiography with indocyanine green. A 71-year-old woman with abdominal distention was referred to our hospital. CT demonstrated a 17 × 11.5-cm simple cyst replacing the right lobe of the liver, so laparoscopic fenestration was performed. Although the biliary duct could not be detected because of compression by the huge cyst, fluorescent cholangiography with indocyanine green through endoscopic naso-biliary drainage tube clearly delineated the intrahepatic bile duct in the remaining cystic wall. The patient had no complications at 3 months after surgery. Fluorescent cholangiography using indocyanine green is a safe and effective procedure to avoid bile duct injury during laparoscopic fenestration, especially in patients with a huge liver cyst.

• Authors: Toshihiro Kitajima, Yasuhiro Fujimoto, Etsuro Hatano, Yusuke Mitsunori, Koji Tomiyama, Kojiro Taura, Masaki Mizumoto, Shinji Uemoto
• Journal: Asian journal of endoscopic surgery (Asian J Endosc Surg) Vol. 8 Issue 1 Pg. 71-4 (Feb 2015) ISSN: 1758-5910 [Electronic] Japan
• PMID: 25598059 (Publication Type: Case Reports, Journal Article)
• Copyright: © 2015 Japan Society for Endoscopic Surgery, Asia Endosurgery Task Force and Wiley Publishing Asia Pty Ltd.

Chemical References

• Coloring Agents
• Indocyanine Green

Topics

• Aged
• Bile Ducts (pathology)
• Cholangiography (methods)
• Cholecystectomy, Laparoscopic (methods)
• Coloring Agents (administration & dosage)
• Cysts (diagnosis, surgery)
• Female
• Humans
• Indocyanine Green (administration & dosage)
• Injections, Intravenous
• Intraoperative Period
• Liver Diseases (diagnosis, surgery)
• Surgery, Computer-Assisted (methods)