Hepatectomy for hepatocellular carcinoma with indocyanine green excretory defect: a case report

A 69-year-old female patient with an indocyanine green (ICG) excretory defect underwent hepatectomy for hepatocellular carcinoma (HCC). Abdominal computed tomography confirmed a mass lesion with central necrosis in the right anterior segment of the liver. Angiography revealed tumor stain pooling and a portal venous or arterial venous shunt. The patient was carefully evaluated and then treated by surgical resection for HCC. The pathologic examination revealed moderately differentiated HCC. Her postoperative course was uneventful. ICG excretory defect did not seem to have effect on the short-term prognosis of hepatectomy.