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Abstract：
Indocyanine green fluorescence imaging (ICG-FI)-a sensitive tool for detecting tumor localization in laparoscopic surgery-produces false positive results for benign liver tumors. This report is the first case of hepatic angiomyolipoma (HAML) treated laparoscopically with ICG-FI. We present the case of a 31-year-old woman with a liver tumor that was a 13-mm mass in the anterior superior segment. Though a benign tumor was suspected, malignant potential could not be ruled out. Therefore, minimally invasive laparoscopic resection using ICG-FI was planned. ICG, intravenously injected preoperatively, revealed the tumor\'s existence. Pure laparoscopic hepatectomy with ICG-FI was performed for excisional biopsy, during which the tumor was resected with adequate surgical margins, followed by histological confirmation of HAML. In conclusion, it is suggested that laparoscopic resection with ICG-FI is an effective minimal invasive surgery for tumors that are difficult to detect, such as HAML, leading to a safe surgical margin.
摘要：
吲哚菁绿荧光成像（ICG-FI）-一种用于检测腹腔镜手术中肿瘤定位的敏感工具，对良性肝肿瘤产生假阳性结果。本报告是第一例经ICG-FI腹腔镜治疗的肝血管平滑肌脂肪瘤（HAML）。我们介绍了一名31岁的女性，其肝脏肿瘤在前上段有13毫米的肿块。尽管怀疑是良性肿瘤，不能排除恶性可能性。因此,计划使用ICG-FI进行微创腹腔镜切除术。ICG,术前静脉注射，揭示了肿瘤的存在。行ICG-FI纯腹腔镜肝切除术切除活检,在手术切缘充足的情况下切除肿瘤，其次是组织学确认的HAML。总之,这表明，ICG-FI腹腔镜切除术是一种有效的微创手术难以检测的肿瘤，比如HAML，导致安全的手术边缘。
