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Updated: Feb 6, 2026

Robotic Left Hepatectomy using Indocyanine Green Fluorescence Imaging for an Intrahepatic Complex Biliary Cyst
Published on: June 24, 2022
Green indocyanine fluorescence in robotic abdominal surgery
Giuseppe Spinoglio1, Emilio Bertani1, Simona Borin1
1Department of Hepatobiliary and Digestive Surgery, IEO, European Institute of Oncology IRCCS, Via Ripamonti 435, Milan, Italy.
Indocyanine green (ICG) fluorescence imaging aids surgical decisions by visualizing vascularization and lymphatic drainage. This technology is increasingly valuable in robotic general surgery for enhanced anatomical information.
Area of Science:
- Surgical Technology
- Medical Imaging
- Oncology
Background:
- Fluorescent imaging using indocyanine green (ICG) is an emerging technology.
- ICG is gaining acceptance as a valid tool for surgical decision-making.
- ICG provides anatomic information about organ vascularization and tissue perfusion.
Purpose of the Study:
- To address specific applications of ICG fluorescence in robotic general surgery.
- To highlight the utility of ICG in enhancing visualization during surgical procedures.
- To explore the role of ICG in identifying lymphatic draining pathways.
Main Methods:
- Intravenous injection of ICG to bind plasma lipoproteins.
- Excitation of ICG with near-infrared light for imaging.
- Injection of ICG into tissues to visualize lymphatic migration.
Main Results:
- ICG provides detailed anatomic information on organ vascularization.
- ICG enables visualization of tissue perfusion.
- ICG facilitates identification of lymphatic draining pathways.
Conclusions:
- ICG fluorescence imaging is a valuable tool in robotic general surgery.
- The technology enhances surgeons' ability to make informed decisions.
- ICG imaging offers critical insights into vascular and lymphatic anatomy.
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