Peng Yumin,Yin Qiang,Gao Hongqiang,et al.Anatomic right-half of indocyanine green fluorescent staining hepatectomy for children with liver tumors.[J].Journal of Clinical Pediatric Surgery,,17():0.[doi:10.3969/j.issn.1671-6353.2018. 201805057]
Anatomic right-half of indocyanine green fluorescent staining hepatectomy for children with liver tumors.
- Keywords:
- Indocyanine Green; Fluorescent Staining; Liver Neoplasms; Dissection; Child
- Abstract:
- Objective To explore the value of indole cyanine green (ICG) fluorescent staining in guiding anatomic right-half hepatectomy in pediatric liver tumors. Methods For one hospitalized child of hepatoblastoma, ICG was injected into peripheral veins and semi-hepatic section was marked by "reverse staining method" for completing fluorescence guided anatomic right hemicectomy. To explore the dosage, staining method, liver and extrahepatic biliary tract staining time index of children with ICG, and the guiding significance of staining and breaking in the face of liver resection plane. Results ICG fluorescence staining was employed for guiding the successful completion of anatomic right-half hepatectomy. Liver was stained satisfactorily during operation and intraoperative bile duct staining showed distinct imaging. With an intraoperative bleeding volume of 150 mL, operative duration was 300 min. After operation, patient recovery was excellent and liver functions decreased to normal. Conclusion The application of ICG fluorescence staining can accurately guide children’s anatomic liver resection. It is of great value for treating children’s liver tumors. However, a comparative study on success rate, safety and prognosis of ICG fluorescence staining requires a large number of cases.
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Memo
(收稿日期：2018-05-24)本文引用格式：彭宇明，尹强，高红强，等.吲哚菁绿荧光染色引导下解剖性右半肝切除治疗儿童肝脏肿瘤[J].临床小儿外科杂志，2018，17（ ）: DOI:10.3969/j.issn.1671-6353.2018. 201805057.Citing this article as: Peng YM, Yin Q, Gao HQ, et al. Anatomic right half of indocyanine green fluorescence staining hepatectomy for children with liver tumors[J]. J Clin Ped Sur, 2018, DOI:10.3969/j.issn.1671-6353. 201805057.作者单位：湖南省儿童医院普外一科（湖南省长沙市，410007）