ArticleAnnals of surgical oncology2025
Detachment of the Intersegmental Plane in Robotic Left Hepatectomy Using Indocyanine Green Fluorescent Imaging (with Video).
Article in Annals of surgical oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
2 citing papers in PubMed.
- Revisiting the Intersegmental Plane in Anatomical Liver Resection: A Three-Zone Framework Beyond Hepatic Vein Exposure.Journal of surgical oncology · 2026Article
- ASO Author Reflections: Robotic Right Anterior Sectionectomy Using Extrahepatic Glissonean Approach and ICG Fluorescence-Enhancing Precision in Complex Liver Surgery.Annals of surgical oncology · 2025Article
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAnatomical liver resection has been altered by a deeper understanding of the internal structure of the liver, highlighting the importance of the intersegmental plane, a region lacking Glissonean branches. These insights have enabled a novel surgical technique focused on the precise detachment of the intersegmental plane, supported by indocyanine green (ICG) fluorescent imaging and robotic platforms, enhancing the precision and safety of liver resection.
methodsThis study involved four patients who underwent robotic left hepatectomy using the Da Vinci Xi system. The extrahepatic Glissonean approach was applied, followed by ICG-guided delineation of the intersegmental plane. Parenchymal transection was performed using robotic arms for precise control and minimal thermal damage, ensuring the preservation of the intersegmental plane.
resultsThe median operation time was 215 min, with a median blood loss of 35 mL. None of these patients required conversion to open surgery or had postoperative complications, and all had negative resection margins. The median hospital stay was 5.5 days.
conclusionRobotic-assisted detachment of the intersegmental plane, guided by ICG imaging, offers a precise and minimally invasive approach for anatomical liver resection. This technique leverages the natural anatomical features of the liver, improving patient outcomes and providing a significant advance in liver surgery.
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Registered trials
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