Videofluorescence navigation during parenchymal-sparing liver resections using a domestic fluorescence imaging system

Semenkov A.V.; Subbot V.S.; Yuriev D.Y.

doi:https://doi.org/10.17116/hirurgia202405165

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Abstract:

Parenchyma- sparing liver resections are aimed at maximizing the possible preservation of parenchyma not affected by the tumor — a current trend in hepatopancreatobiliary surgery. On the other hand, a prerequisite for operations is to ensure their radicality. To effectively solve this problem, all diagnostic imaging methods available in the arsenal are used, which make it possible to comprehensively solve the issues of perioperative planning of the volume and technical features of the planned operation. Diagnostic imaging methods that allow intraoperative navigation through intraoperative, instrumentally based determination of the tumor border and resection plane have additional value. One of the methods of such mapping is ICG video fluorescence intraoperative navigation. An analysis of the clinical use of the domestic video fluorescent navigation system “MARS” for parenchymal-sparing resections of focal liver lesions is presented. An assessment was made of the dynamics of the distribution of the contrast agent during ICG videofluorescent mapping during parenchymal-sparing resection interventions on the liver, with the analysis of materials from histological examination of tissues taking into account three-zonal videofluorescent marking of the resection edge, performed using the domestic videofluorescence imaging system «MARS».

Keywords:

video fluorescence navigation

parenchyma-sparing liver resections

fluorescent imaging system

indocyan green

parenchyma-sparing surgery

surgical clearance

liver metastases

intraoperative navigation

perioperative planning

Authors:

Semenkov A.V.

Moscow Regional Research and Clinical Institute («MONIKI»);
I.M. Sechenov First Moscow State Medical University

ORCID: 0000-0002-7365-6081

Subbot V.S.

I.M. Sechenov First Moscow State Medical University

ORCID: 0000-0002-7834-7819

Yuriev D.Y.

Moscow Regional Research and Clinical Institute («MONIKI»)

ORCID: 0009-0003-2374-3114

Received:

26.03.2024

Accepted:

10.04.2024

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References:

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