Abstract
Identification of the liver segment during surgery is important for performing anatomical resection. Conventionally, clamping the targeted Glissonian pedicle or dye injection of the targeted Glissonian pedicle has been used to identify the liver segment. Although these methods are simple procedures, they do not depict the intrahepatic segmental plane. Also, dye stain color is transitional and cannot be observed during surgery. Recently, near-infrared fluorescence (NIRF) imaging with indocyanine green (ICG) has been developed as a novel imaging system. In the field of liver surgery, this technique is clinically used for tumor identification, bile leak test, and novel anatomical segmentation during surgery. In this chapter, counterperfusion and direct perfusion methods using NIRF images are proposed to perform intraoperative hepatic segmentation. With these techniques, we can clearly and continuously depict liver segmentation not only on the surface of the liver but also on the intrahepatic segmental plane.
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Ueno, M., Yamaue, H. (2016). Intraoperative Liver Segmentation Using Indocyanine Green Fluorescence Imaging. In: Kusano, M., Kokudo, N., Toi, M., Kaibori, M. (eds) ICG Fluorescence Imaging and Navigation Surgery. Springer, Tokyo. https://doi.org/10.1007/978-4-431-55528-5_25
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DOI: https://doi.org/10.1007/978-4-431-55528-5_25
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