HPB further education - Fluorescence Imaging in Liver Tumor Resection

Hepatocellular carcinoma (HCC), cholangiocarcinoma, and colorectal liver metastasis (CRLM) are the most common indications for liver resection. Historically, anatomic liver resection (ALR) was the standard of care, causing many patients with small, segmental tumors to undergo larger resections; however, in recent decades, there has been a shift towards parenchymal-sparing resection (PSR) which allows sparing of a larger volume of normal liver. With the increase in PSR and the improvement in intra-operative technology, use of fluorescence imaging to guide liver resection has been explored.