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Consensus Guidelines for the Use of Fluorescence Imaging in Hepatobiliary Surgery
Xiaoying Wang1, Catherine S C Teh2, Takeaki Ishizawa3
1Department of Liver Surgery and Transplantation, Liver Cancer Institute, Zhongshan Hospital, Fudan University, Shanghai, China.
Annals of Surgery
|December 22, 2020
Summary
This study provides consensus recommendations for using indocyanine green (ICG) fluorescence imaging in hepatobiliary surgery. These guidelines aim to standardize ICG use, enhancing safety and technical feasibility in procedures like liver surgery.
Area of Science:
- Hepatobiliary Surgery
- Surgical Imaging
- Medical Consensus
Background:
- Indocyanine green (ICG) fluorescence imaging is increasingly used in hepatobiliary surgery.
- Varied evidence exists regarding ICG's optimal use, dosage, and administration timing.
- Expert consensus is needed to standardize ICG application in clinical practice.
Framework:
- A panel of 13 expert hepatobiliary and minimally invasive surgeons convened in Shanghai.
- The modified Delphi method was employed to consolidate evidence and clinical experience.
- Unanimous consensus was achieved on statements regarding ICG use in hepatobiliary surgery.
Implementation:
- Seven consensus recommendations for ICG's clinical application in hepatobiliary surgery were formulated.
- The recommendations address practical tips and techniques for ICG fluorescence-guided procedures.
- Specific applications include laparoscopic cholecystectomy, liver segmentectomy, and liver transplantation.
Implications:
- The Shanghai consensus provides practical guidance for ICG fluorescence imaging in hepatobiliary surgery.
- These recommendations aim to improve the safety and technical feasibility of surgical procedures.
- Standardized ICG use can enhance surgical outcomes and patient care in liver surgery.
