Optimal bile duct division using real‐time indocyanine green near‐infrared fluorescence cholangiography during laparoscopic donor hepatectomy

This is the authors' abstract. We don't add key points for this paper.

Despite advances in living donor liver transplantation (LDLT), biliary complications remain common during donor hepatectomy.These complications may be avoided by determining optimal bile duct division points.Intraoperative cholangiography and preoperative magnetic resonance cholangiopancreatography (MRCP) have been shown to be helpful in determining optimal division points.Alternatively, dissection around the bile ducts and exploration through the cystic ducts can help localize division points accurately.Recently, indocyanine green (ICG) near-infrared fluorescence cholangiography has been applied to various hepatobiliary and pancreatic operations.To test its real-time applicability to laparoscopic donor hepatectomy, we used this technique to precisely determine the adequate dissection lines for bile ducts.Following an initial case report in 2010 describing ICG cholangiography in open living donor hepatectomy, (1) few studies have described the application of this technique to laparoscopic living donor hepatectomy.To our knowledge, these previous studies are limited to case reports or case series and to laparoscopic left living donor hepatectomy.Here we report our initial experiences with ICG near-infrared fluorescence cholangiography in various types of laparoscopic donor hepatectomy.