Indocyanine Green Fluorescence Navigation Enables Laparoscopic Anatomic Bi-segmentectomy

The study demonstrates that laparoscopic anatomic bi-segmentectomy using Takasaki’s approach and indocyanine green fluorescence navigation is technically feasible and safe, serving as a valuable alternative to formal right hepatectomy in select cases. The report describes a successful case of a 58-year-old male with hepatitis B virus-related hepatocellular carcinoma (HCC), where the laparoscopic procedure resulted in a negative surgical margin and a favorable postoperative course, leading to discharge on postoperative day 8. The study highlights the potential benefits of this approach in specific circumstances.