First fully laparoscopic donor hepatectomy for pediatric liver transplantation using the indocyanine green near-infrared fluorescence imaging in the Middle East: a case report.

First fully laparoscopic donor hepatectomy for pediatric liver transplantation using the indocyanine green near-infrared fluorescence imaging in the Middle East: a case report.
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DOI:
10.5144/0256-4947.2014.354
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发表时间:
2014-07
影响因子:
1.6
通讯作者:
Broering D
Broering D
中科院分区:
医学4区
文献类型:
--
作者:
Troisi RI;Elsheikh YM;Shagrani MA;Broering D

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活体肝移植(LDLT)是治疗多种儿科终末期肝病的成熟治疗方式,具有良好的长期效果。通过开放入路进行的左侧横断面切除术 (LLS) 是一种标准化的手术。该技术已被修改为完全腹腔镜手术,并在全世界范围内引起越来越多的兴趣。我们在此报告了中东地区首个针对儿科 LDLT 的全腹腔镜 LLS,使用吲哚菁绿染料和近红外荧光成像来识别术中胆管。收件人是一名 2 岁的孩子。患有 IV 型糖原累积病的女孩。 21岁的母亲是她的捐赠者。现将手术技术、手术要点和结果进行讨论。
Living donor liver transplantation (LDLT) is a well-established treatment modality for several pediatric end-stage liver diseases owning excellent long-term results. Left lateral sectionectomy (LLS) through an open approach is a well-standardized procedure. This technique has been modified for a fully laparoscopic approach and gaining more and more interest worldwide. We report herein the first fully laparoscopic LLS for pediatric LDLT in the Middle East with the use of indocyanine green dye and near-infrared fluorescence imaging to identify the biliary ducts intraoperatively. The recipient was a 2-year-old. girl affected by glycogen storage disease type IV. The mother, aged 21 years, was her donor. The surgical technique, key-points of this procedure, and outcome are hereby discussed.
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