Laparoscopic ICG-guided stapled left lateral sectionectomy for HCC on hemochromatosis

A case of a 76-year-old man, with a 10-year history of cirrhosis on a hemochromatosis (HH), CHILD score A, and MELD 10. The diagnosis of S2 and S3 liver mass detected during US surveillance prompted admission for surgery. A preoperative enhanced TC scan confirmed a 4 cm liver mass, highly suspicious for a HCC located in segments S2 and S3 with the involvement of the left hepatic vein and sparing of the main portal pedicle. Indocyanine green (ICG) was intravenously administered 6 hours before surgery and an ICG-guided laparoscopic S2–S3 left lateral sectionectomy was performed.