Indocyanine green fluorescence imaging for spleen preservation in laparoscopic splenic artery aneurysm resection: A case report

Figure 1 Contrast-enhanced celiac trunk and 3D reconstruction imaging. A: A 3.5 cm splenic artery aneurysm (SAA) in the proximal splenic artery located in the posterior pancreas; B: 3D reconstruction imaging shows a 3.5 cm SAA at the same location. CT: Celiac trunk; SA: Splenic artery; SAA: Splenic artery aneurysm;

Figure 2 Intraoperative imaging. A: The splenic artery aneurysm protruded into the pancreatic parenchyma adhered to the surrounding tissues; B: Both the proximal (1) and distal (2) aneurysms were occluded with aneurysmectomy. SA: Splenic artery; SAA: Splenic artery aneurysm; SV: Splenic vein.

Figure 3 Indocyanine green fluorescence imaging at the end of surgery. A: Spleen before indocyanine green (ICG) injection; B: The whole spleen was stained green 6 min 50 s after ICG injection.