Decision for preservation or ligation of aberrant left hepatic artery using fluorescence imaging in minimally invasive gastrectomy: a prospective nonrandomized comparative study.
Ji Eun Jung, Shiyeol Jun, Seyeol Oh et al.
✦ AI-curated · Sources linked
In 30 seconds
This multicenter, prospective, nonrandomized comparative study evaluated the use of near-infrared fluorescence imaging to guide the preservation or ligation of the aberrant left hepatic artery (ALHA) during minimally invasive gastrectomy in 50 patients with gastric cancer. The study found significant differences in liver enzyme levels among groups based on perfusion status, with the partial perfusion group showing the highest increase in aspartate transaminase on postoperative day 1 (303.73 ± 383.4%).
Key findings
- Aspartate transaminase levels on postoperative day 1 were significantly higher in the partial perfusion group (303.73 ± 383.4%) compared to others.
- Alanine transaminase levels differed significantly on postoperative day 3, with the partial perfusion group at 313.68 ± 417.1%.
- All liver enzyme levels normalized within 5 days postoperatively, indicating no severe complications.
Why it matters
The study highlights the potential of fluorescence imaging to optimize surgical decisions regarding ALHA management, balancing oncologic safety with the risk of liver dysfunction, which is crucial for postoperative recovery.