Robotic Left Hepatectomy using Indocyanine Green Fluorescence Imaging for an Intrahepatic Complex Biliary Cyst

Overview

This article discusses a robotic left hepatectomy performed on a 68-year-old woman diagnosed with a large complex biliary cyst. The procedure utilized indocyanine green fluorescence imaging to enhance surgical precision and safety.

Key Study Components

Area of Science

• Robotic surgery
• Hepatobiliary surgery
• Fluorescence imaging

Background

• Robotic liver surgery is increasingly accepted for various liver conditions.
• Left hepatectomy remains a technically challenging procedure.
• Indocyanine green fluorescence imaging aids in visualizing biliary structures.
• Complex biliary cysts can lead to intrahepatic complications.

Purpose of Study

• To demonstrate a surgical technique for robotic left hepatectomy.
• To highlight the use of fluorescence imaging in surgical navigation.
• To report on the outcomes of the procedure in a specific case.

Methods Used

• Robotic left hepatectomy technique described in detail.
• Use of indocyanine green fluorescence imaging during surgery.
• Intraoperative ultrasound to confirm lesion localization.
• Standard laparoscopic techniques for dissection and transection.

Main Results

• The procedure was completed in 190 minutes with minimal blood loss.
• Postoperative recovery was uncomplicated, with discharge after four days.
• Histopathological examination confirmed the diagnosis of a large complex cyst.
• Fluorescence imaging effectively guided the surgical dissection.

Conclusions

• Robotic left hepatectomy is a feasible option for complex biliary cysts.
• Indocyanine green fluorescence imaging enhances surgical outcomes.
• Further studies may validate the technique's efficacy and safety.

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