Case report: How I do it? Laparoscopic hepatectomy with transcatheter arterial ICG staining for hepatolithiasis review

Jingyi Xu; Xinye Qian; Wei Yang; Fei Yu; Yufan Yang; Wang Hu; Lu Gao; Shuang Wang; Liusheng Wu; Yutong Zhao; Lei Yang; Lin Zhang; Jun Yan

doi:10.3389/fmed.2024.1470120

Case report: How I do it? Laparoscopic hepatectomy with transcatheter arterial ICG staining for hepatolithiasis review

Front Med (Lausanne). 2024 Nov 5:11:1470120. doi: 10.3389/fmed.2024.1470120. eCollection 2024.

Authors

Jingyi Xu^{1

2}, Xinye Qian³, Wei Yang¹, Fei Yu¹, Yufan Yang¹, Wang Hu¹, Lu Gao⁴, Shuang Wang¹, Liusheng Wu¹, Yutong Zhao¹, Lei Yang¹, Lin Zhang¹, Jun Yan¹

Affiliations

¹ Center of Hepatobiliary Pancreatic Disease, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua University, Beijing, China.
² Department of General Surgery, The First People's Hospital of Shuangliu District, West China (Airport) Hospital Sichuan University, Chengdu, China.
³ Department of Algology, Zhongshan Hospital, Fudan University, Shanghai, China.
⁴ Department of Basic Medicine, Beijing Health Vocational College, Beijing, China.

Abstract

Background: Hepatolithiasis is regarded as the presence of stones in the intrahepatic bile ducts. Recurrent inflammation of bile ducts can bring many bad effects. How to completely remove stones is still a challenge.

Presentation: A 66-year-old male went to our hospital because of hepatolithiasis and choledocholithiasis. Selective hepatic arteriography and transcatheter arterial embolization followed by laparoscopic watershed hepatectomy under fluorescent navigation and laparoscopic common bile duct exploration on mass removal are performed.

Clinical discussion: For patients who suffer from hepatolithiasis, the main treatment principles of the operation are to remove the stones, correct the stenosis, and prevent recurrence. The laparoscopic watershed hepatectomy under fluorescent navigation can provide important support for precision liver surgery, which can give some suggestions for future hepatectomy.

Conclusion: Based on the three-dimensional (3D) visual watershed analysis, trans-arterial DSA positive fluorescence navigation has some advantages, which successfully overcome the shortcomings of the reverse staining method and the positive staining method.

Keywords: arterial ICG staining; case report; hepatolithiasis; laparoscopic hepatectomy; vascular intervention.

Publication types

Case Reports

Grants and funding

The author(s) declare that financial support was received for the research, authorship, and/or publication of this article. The study was supported by the Precision Medicine Research Program of Tsinghua University (No. 2022ZLA006) and the Start-up Fund for Talent Researchers of Tsinghua University (No. 10001020507).