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Related Experiment Video

Updated: Jan 7, 2026

Application of Indocyanine Green Fluorescence Imaging Technology in Laparoscopic Duodenum-Preserving Pancreatic Head Resection
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A systematic review of the application of indocyanine green in pancreatic neuroendocrine tumors: Technical details,

Marco Palucci1, Gabriela D Angel-Millán1, Fabio Giannone2

  • 1Division of Hepato-Pancreato-Biliary, Oncologic and Robotic Surgery, Azienda Ospedaliero-Universitaria SS. Antonio e Biagio e Cesare Arrigo, Via Venezia 16, Alessandria, 15121, Italy.

HPB : the Official Journal of the International Hepato Pancreato Biliary Association
|December 30, 2025
PubMed
Summary
This summary is machine-generated.

Indocyanine green (ICG) fluorescence imaging safely and effectively aids in localizing pancreatic neuroendocrine tumors (pNETs) during surgery. This technique improves tumor visualization, crucial for minimally invasive procedures.

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Area of Science:

  • Surgical Oncology
  • Medical Imaging
  • Gastroenterology

Background:

  • Pancreatic neuroendocrine tumors (pNETs) present localization challenges in minimally invasive surgery.
  • Lack of tactile feedback complicates the identification of small pNETs.
  • Indocyanine green (ICG) fluorescence imaging offers potential for enhanced tumor visualization.

Purpose of the Study:

  • To systematically review the evidence on ICG use in pNET surgery.
  • To evaluate ICG's indications, timing, dosage, and intraoperative strategies.
  • To assess the safety and efficacy of ICG for pNET localization.

Main Methods:

  • Systematic literature search (PubMed, Embase, Web of Science) up to May 2025.
  • Adherence to PRISMA guidelines for study selection.
  • Inclusion of studies reporting intraoperative ICG use in pNET surgery.

Main Results:

  • Fifteen studies with 43 patients were analyzed.
  • ICG successfully identified tumors in 88.4% of cases with 95.0% positive predictive value.
  • ICG was administered intravenously (1-25 mg), with fluorescence appearing within 5 minutes; no adverse events reported.

Conclusions:

  • ICG fluorescence imaging is a safe and effective tool for pNET localization.
  • Further research is recommended to standardize protocols and optimize clinical application.
  • ICG enhances surgical guidance in pNET procedures.