摘要
BACKGROUND Liver cancer is a malignant tumor with a high incidence.At present,the most effective treatment is laparoscopic hepatectomy(LH).Indocyanine green fluorescence imaging(ICG-FI)has become an important tool in LH,and the most common fluorescent types of tumors are total fluorescence,partial fluorescence,and rim fluorescence.CASE SUMMARY We presented four cases of LH guided by ICG-FI in which we also observed the fourth special fluorescent type.When the tumor or intrahepatic stone compresses the adjacent bile duct to cause local cholestasis,the liver segment or subsegment with obstructed bile drainage will show strong fluorescence.Complete removal of the lesion together with the fluorescent liver parenchyma may help reduce the risk of tumor or stone recurrence.CONCLUSION This type of partial fluorescence can indicate local biliary compression,and the resection method is related to bile drainage,which may be called functional anatomical hepatectomy and ensures radical resection of the lesion.
基金
Supported by National Natural Science Foundation of China,No.81972792.
作者简介
ORCID number:Hong-Wei Han,0000-0002-8410-4389;ORCID number:Ning Shi,0000-0001-8546-3802;ORCID number:Yi-Ping Zou,0000-0003-2880-2147;ORCID number:Yuan-Peng Zhang,0000-0002-3681-3930;ORCID number:Ye Lin,0000-0002-4032-964X;ORCID number:Zi Yin,0000-0003-2208-6717;ORCID number:Zhi-Xiang Jian,0000-0002-7258-352X;ORCID number:Corresponding author:Hao-Sheng Jin,MD,Surgeon,Department of General Surgery,Guangdong Provincial People's Hospital,Guangdong Academy of Medical Sciences,No.106 Zhongshan Er Road,Guangzhou 510080,Guangdong Province,China.kinghaos@126.com,0000-0001-7554-7551.
