Safety and Efficacy of Trans-arterial Versus Trans-portal ICG Fluorescence-Guided Laparoscopic Liver Watershed Resection: A Multicenter, Ambispective Cohort Study
This multicenter, ambispective cohort study evaluates the safety and efficacy of trans-arterial Indocyanine Green (ICG) fluorescence-guided laparoscopic liver watershed resection for Hepatocellular Carcinoma (HCC). The study aims to compare the outcomes of the trans-arterial ICG staining approach versus the conventional trans-portal (portal vein) ICG staining approach.
• Age 18-80 years.
• Postoperative histopathological diagnosis of Hepatocellular Carcinoma (HCC).
• Underwent ICG fluorescence-guided laparoscopic anatomical liver resection.
• Child-Pugh Class A or B.
• ASA score I-III.
• ECOG Performance Status 0-2.
• No invasion of major vessels (main portal vein/first-order branches, main hepatic vein).
• No distant metastasis.