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Title: Consensus Guidelines for the Use of Fluorescence Imaging in Hepatobiliary Surgery.
Austin Authors: Wang, Xiaoying;Teh, Catherine S C;Ishizawa, Takeaki;Aoki, Takeshi;Cavallucci, David;Lee, Ser-Yee;Panganiban, Katherine M;Perini, Marcos V ;Shah, Sudeep R;Wang, Hongguang;Xu, Yinzhe;Suh, Kyung-Suk;Kokudo, Norihiro
Affiliation: Department of Hepatopancreatobiliary and Transplant Surgery, Singapore General Hospital, Singapore Division of Minimally Invasive and Robotic Surgery, Institute of Surgery, St. Luke's Medical Center, Quezon City, Philippines
Department of Surgery, Seoul National University College of Medicine, Seoul, Korea
Department of Surgery, National Center for Global Health and Medicine, Tokyo, Japan
Division of Gastroenterological and General Surgery, Department of Surgery, School of Medicine, Showa University, Tokyo, Japan
Department of Surgery at The Royal Brisbane and Women's Hospital, The University of Queensland, Brisbane, Australia
Department of Liver Surgery and Transplantation, Liver Cancer Institute, Zhongshan Hospital, Fudan University, Shanghai, China
Section of Hepatobiliary Pancreatic Surgery, Surgical Oncology, and Minimally Invasive Surgery, St Luke's Medical Center, Quezon City, Philippines
Hepato-Biliary-Pancreatic Surgery Division, Department of Surgery, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan
Department of Gastroenterology, P.D. Hinduja National Hospital and Medical Research Centre, Veer Savarkar Marg, Mahim, Mumbai, Maharashtra, India
Department of Hepatobiliary Surgery, the First Medical Center, Chinese People's Liberation Army General Hospital, Beijing, China
Surgery (University of Melbourne)
Issue Date: 1-Jul-2021
Date: 2020-12-18
Publication information: Annals of Surgery 2021; 274(1): 97-106
Abstract: To establish consensus recommendations for the use of fluorescence imaging with indocyanine green (ICG) in hepatobiliary surgery. ICG fluorescence imaging has gained popularity in hepatobiliary surgery in recent years. However, there is varied evidence on the use, dosage, and timing of administration of ICG in clinical practice. To standardize the use of this imaging modality in hepatobiliary surgery, a panel of pioneering experts from the Asia-Pacific region sought to establish a set of consensus recommendations by consolidating the available evidence and clinical experiences. A total of 13 surgeons experienced in hepatobiliary surgery and/or minimally invasive surgery formed an expert consensus panel in Shanghai, China in October 2018. By the modified Delphi method, they presented the relevant evidence, discussed clinical experiences, and derived consensus statements on the use of ICG in hepatobiliary surgery. Each statement was discussed and modified until a unanimous consensus was achieved. A total of 7 recommendations for the clinical applications of ICG in hepatobiliary surgery were formulated. The Shanghai consensus recommendations offer practical tips and techniques to augment the safety and technical feasibility of ICG fluorescence-guided hepatobiliary surgery, including laparoscopic cholecystectomy, liver segmentectomy, and liver transplantation.
DOI: 10.1097/SLA.0000000000004718
Journal: Annals of Surgery
PubMed URL: 33351457
Type: Journal Article
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