Usefulness of indocyanine green fluorescence in laparoscopic resection of choledochal cyst in children

Image-guided surgery using indocyanine green allows the delineation of anatomical structures during laparoscopic surgery. Dye excretion through the bile duct has also facilitated complicated cholecystectomies. However, there have been few reports of its application in children. To date, its use for...

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Main Authors: Carlos García-Hernández, Hugo Cabrera-González, Lourdes Carvajal-Figueroa, Christian Archivaldo-García, Romer Jesús Valero-Mamani, Ramiro Adebel Martinez-Flores
Format: Article
Language:English
Published: Elsevier 2022-01-01
Series:Journal of Pediatric Surgery Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S221357662100350X
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author Carlos García-Hernández
Hugo Cabrera-González
Lourdes Carvajal-Figueroa
Christian Archivaldo-García
Romer Jesús Valero-Mamani
Ramiro Adebel Martinez-Flores
author_facet Carlos García-Hernández
Hugo Cabrera-González
Lourdes Carvajal-Figueroa
Christian Archivaldo-García
Romer Jesús Valero-Mamani
Ramiro Adebel Martinez-Flores
author_sort Carlos García-Hernández
collection DOAJ
description Image-guided surgery using indocyanine green allows the delineation of anatomical structures during laparoscopic surgery. Dye excretion through the bile duct has also facilitated complicated cholecystectomies. However, there have been few reports of its application in children. To date, its use for minimally invasive treatment of choledochal cyst in children has not been reported. The adequate treatment of this condition requires careful dissection to avoid vascular and visceral lesions as well as biliary digestive reconstruction according to the morphology of the hepatic duct. In the presented case, the application of this technique allowed for the complete dissection of the cyst without vascular injury, the safe ligation of the duodenal segment of the cyst, and a successful duodenal hepatic anastomosis. These were accomplished through laparoscopy by visualizing the passage towards the duodenum and ruling out the presence of fistulas.
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spelling doaj.art-778e6c8210f44395a719074b992f05942022-12-21T18:44:25ZengElsevierJournal of Pediatric Surgery Case Reports2213-57662022-01-0176102129Usefulness of indocyanine green fluorescence in laparoscopic resection of choledochal cyst in childrenCarlos García-Hernández0Hugo Cabrera-González1Lourdes Carvajal-Figueroa2Christian Archivaldo-García3Romer Jesús Valero-Mamani4Ramiro Adebel Martinez-Flores5Departamento de Cirugía Pediátrica, Hospital Infantil Privado, Curso de Alta Especialidad Postgrado, Universidad Nacional Autónoma de México, Ciudad de México, Mexico; Corresponding author. Circuito Valle Dorado 12 Col. Loma de Valle Escondido, C.P. 52930, Atizapán de Zaragoza, Estado de México, Mexico.Cirujano Pediatra, Dirección Médica, Hospital Puebla, MexicoDepartamento de Cirugía Pediátrica, Hospital Infantil Privado, Curso de Alta Especialidad Postgrado, Universidad Nacional Autónoma de México, Ciudad de México, MexicoDepartamento de Cirugía Pediátrica, Hospital Infantil Privado, Curso de Alta Especialidad Postgrado, Universidad Nacional Autónoma de México, Ciudad de México, MexicoDepartamento de Cirugía Pediátrica, Hospital Infantil Privado, Curso de Alta Especialidad Postgrado, Universidad Nacional Autónoma de México, Ciudad de México, MexicoDepartamento de Cirugía Pediátrica, Hospital Infantil Privado, Curso de Alta Especialidad Postgrado, Universidad Nacional Autónoma de México, Ciudad de México, MexicoImage-guided surgery using indocyanine green allows the delineation of anatomical structures during laparoscopic surgery. Dye excretion through the bile duct has also facilitated complicated cholecystectomies. However, there have been few reports of its application in children. To date, its use for minimally invasive treatment of choledochal cyst in children has not been reported. The adequate treatment of this condition requires careful dissection to avoid vascular and visceral lesions as well as biliary digestive reconstruction according to the morphology of the hepatic duct. In the presented case, the application of this technique allowed for the complete dissection of the cyst without vascular injury, the safe ligation of the duodenal segment of the cyst, and a successful duodenal hepatic anastomosis. These were accomplished through laparoscopy by visualizing the passage towards the duodenum and ruling out the presence of fistulas.http://www.sciencedirect.com/science/article/pii/S221357662100350XCholedochal cystFluorescenceIndocyanine green
spellingShingle Carlos García-Hernández
Hugo Cabrera-González
Lourdes Carvajal-Figueroa
Christian Archivaldo-García
Romer Jesús Valero-Mamani
Ramiro Adebel Martinez-Flores
Usefulness of indocyanine green fluorescence in laparoscopic resection of choledochal cyst in children
Journal of Pediatric Surgery Case Reports
Choledochal cyst
Fluorescence
Indocyanine green
title Usefulness of indocyanine green fluorescence in laparoscopic resection of choledochal cyst in children
title_full Usefulness of indocyanine green fluorescence in laparoscopic resection of choledochal cyst in children
title_fullStr Usefulness of indocyanine green fluorescence in laparoscopic resection of choledochal cyst in children
title_full_unstemmed Usefulness of indocyanine green fluorescence in laparoscopic resection of choledochal cyst in children
title_short Usefulness of indocyanine green fluorescence in laparoscopic resection of choledochal cyst in children
title_sort usefulness of indocyanine green fluorescence in laparoscopic resection of choledochal cyst in children
topic Choledochal cyst
Fluorescence
Indocyanine green
url http://www.sciencedirect.com/science/article/pii/S221357662100350X
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