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The aim of this study was to evaluate the feasibility and efficacy of a novel real-time navigation way for laparoscope liver resection, which was fused images comprising 3D imaging and indocyanine green Fluorescence imaging (fusion IGFI).
During liver resection, surgeons cannot completely view the intraparenchymal structure. Although a fluorescent imaging technique using indocyanine green has recently been developed for hepatobiliary surgery, limitations in its application for real-time navigation persist. A nove augmented reality surgery navigation system (ARSNS) can be combined with indocyanine green Fluorescence imaging to guide the surgery real-time.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Experimental group | Experimental | Hepatectomy procedures were performed under Laparoscopic surgical navigation system and Indocyanine Green guidance. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Laparoscopic surgical navigation system | Device | We will use this navigation system to guide de liver resection. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Liver resection navigation success rate | Whether this technique successfully displayed the pre-resection line during the surgery were recorded. | intraoperative |
| Measure | Description | Time Frame |
|---|---|---|
| Postoperative complication rate | The Postoperative complications were recorded. | 3 months |
| Operative outcomes | Operative outcomes such as operative time, estimated blood loss and blood transfusion were recorded. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Fang Chihua, M.D.;Ph.D | Contact | +8613609700805 | fangch_dr@126.com |
| Name | Affiliation | Role |
|---|---|---|
| Chihua Fang, M.D.;Ph.D | China, Guangdong Zhujiang Hospital of The Southern Medical University | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Zhujiang Hospital of Southern Medical University | Recruiting | Guangzhou | Guangdong | 510282 | China |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 36648260 | Derived | Zhu W, Zeng X, Hu H, Xiang N, Zeng N, Wen S, Tian J, Yang J, Fang C. Perioperative and Disease-Free Survival Outcomes after Hepatectomy for Centrally Located Hepatocellular Carcinoma Guided by Augmented Reality and Indocyanine Green Fluorescence Imaging: A Single-Center Experience. J Am Coll Surg. 2023 Feb 1;236(2):328-337. doi: 10.1097/XCS.0000000000000472. Epub 2022 Nov 8. |
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| ID | Term |
|---|---|
| D007208 | Indocyanine Green |
| ID | Term |
|---|---|
| D007211 | Indoles |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
| D006571 | Heterocyclic Compounds |
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| Indocyanine Green | Drug | ICG was administered 24 hours before the operation or intravenously after clamping the Glissonian sheaths flowing in the cancer-bearing hepatic segment, or directly into the portal branches supplying blood flow to the tumor-bearing hepatic segment, after puncturing of the target segments under intraoperative ultrasonography guidance. |
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| intraoperative |