title: Intraoperative fluorescent cholangiography using indocyanine green for laparoscopic fenestration of nonparasitic huge liver cysts.
abstract: Bile duct injury is one of the known serious complications of laparoscopic fenestration for nonparasitic liver cysts. Herein, we report the case of a huge liver cyst for which we performed laparoscopic fenestration using intraoperative fluorescent cholangiography with indocyanine green. A 71-year-old woman with abdominal distention was referred to our hospital. CT demonstrated a 17 × 11.5-cm simple cyst replacing the right lobe of the liver, so laparoscopic fenestration was performed. Although the biliary duct could not be detected because of compression by the huge cyst, fluorescent cholangiography with indocyanine green through endoscopic naso-biliary drainage tube clearly delineated the intrahepatic bile duct in the remaining cystic wall. The patient had no complications at 3 months after surgery. Fluorescent cholangiography using indocyanine green is a safe and effective procedure to avoid bile duct injury during laparoscopic fenestration, especially in patients with a huge liver cyst.
authors.affiliation: Department of Surgery, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
authors.forename: Toshihiro
authors.initials: T
authors.lastname: Kitajima
authors.forename: Yasuhiro
authors.initials: Y
authors.lastname: Fujimoto
authors.forename: Etsuro
authors.initials: E
authors.lastname: Hatano
authors.forename: Yusuke
authors.initials: Y
authors.lastname: Mitsunori
authors.forename: Koji
authors.initials: K
authors.lastname: Tomiyama
authors.forename: Kojiro
authors.initials: K
authors.lastname: Taura
authors.forename: Masaki
authors.initials: M
authors.lastname: Mizumoto
authors.forename: Shinji
authors.initials: S
authors.lastname: Uemoto
mesh_terms: D000368:Aged; D001652:Bile Ducts / Q000473:pathology*; D002758:Cholangiography / Q000379:methods*; D017081:Cholecystectomy, Laparoscopic / Q000379:methods*; D004396:Coloring Agents / Q000008:administration & dosage; D003560:Cysts / Q000175:diagnosis* / Q000601:surgery; D005260:Female; D006801:Humans; D007208:Indocyanine Green / Q000008:administration & dosage; D007275:Injections, Intravenous; D007432:Intraoperative Period; D008107:Liver Diseases / Q000175:diagnosis* / Q000601:surgery; D025321:Surgery, Computer-Assisted / Q000379:methods*
chemical_list: D004396:Coloring Agents; D007208:Indocyanine Green
keywords: Bile duct injury; fluorescent cholangiography; laparoscopic fenestration