Usefulness of indocyanine green fluorescence in laparoscopic resection of choledochal cyst in children
Autor: | Christian Archivaldo-García, Carlos García-Hernández, Ramiro Adebel Martinez-Flores, Hugo Cabrera-González, Lourdes Carvajal-Figueroa, Romer Jesús Valero-Mamani |
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Jazyk: | angličtina |
Rok vydání: | 2022 |
Předmět: |
Laparoscopic surgery
medicine.medical_specialty RD1-811 medicine.medical_treatment Anastomosis Pediatrics Fluorescence RJ1-570 chemistry.chemical_compound medicine Choledochal cysts Cyst Laparoscopy medicine.diagnostic_test Bile duct business.industry Choledochal cyst medicine.disease Indocyanine green Surgery Dissection medicine.anatomical_structure chemistry Pediatrics Perinatology and Child Health business |
Zdroj: | Journal of Pediatric Surgery Case Reports, Vol 76, Iss, Pp 102129-(2022) |
ISSN: | 2213-5766 |
Popis: | Image-guided surgery using indocyanine green allows the delineation of anatomical structures during laparoscopic surgery. Dye excretion through the bile duct has also facilitated complicated cholecystectomies. However, there have been few reports of its application in children. To date, its use for minimally invasive treatment of choledochal cyst in children has not been reported. The adequate treatment of this condition requires careful dissection to avoid vascular and visceral lesions as well as biliary digestive reconstruction according to the morphology of the hepatic duct. In the presented case, the application of this technique allowed for the complete dissection of the cyst without vascular injury, the safe ligation of the duodenal segment of the cyst, and a successful duodenal hepatic anastomosis. These were accomplished through laparoscopy by visualizing the passage towards the duodenum and ruling out the presence of fistulas. |
Databáze: | OpenAIRE |
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