{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T15:52:30Z","timestamp":1792165950400,"version":"4.4.0"},"reference-count":3,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T00:00:00Z","timestamp":1787443200000},"content-version":"vor","delay-in-days":234,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Asian J Endoscop Surgery"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>The Pringle maneuver (PM) is a widely accepted technique for inflow control during minimally invasive liver resection (MILR). However, postoperative adhesions following abdominal surgery make safe encirclement of the hepatoduodenal ligament technically challenging. Indocyanine green (ICG)\u2013dyed gauze has recently been reported as a useful adjunct in minimally invasive surgery, with potential utility as an anatomical marker to guide surgeons and thereby enhance surgical safety, including by helping prevent gauze remnants. We describe a simple stepwise technique using ICG\u2010fluorescent gauze as a landmark during a challenging PM. The ICG\u2010dyed gauze was gently placed on the dorsal side of the hepatoduodenal ligament (HDL), and its fluorescence provided a clear landmark during adhesion division between the remnant stomach and the HDL. After widening the gate to divide the adhesions by following the fluorescence from the ICG\u2010dyed gauze, the HDL was encircled with tape, and PM was safely performed without organ injury or other complications. This practical method may enhance safety during technically challenging PM in MILR.<\/jats:p>","DOI":"10.1111\/ases.70361","type":"journal-article","created":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T06:02:08Z","timestamp":1787551328000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Safe Encirclement of the Hepatoduodenal Ligament Using\n                    <scp>ICG<\/scp>\n                    \u2010Fluorescent Gauze for a Challenging Pringle Maneuver in Minimally Invasive Hepatectomy"],"prefix":"10.1111","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8574-5305","authenticated-orcid":false,"given":"Yoshihiko","family":"Tashiro","sequence":"first","affiliation":[{"name":"Division of Gastroenterological and General Surgery, Department of Surgery, School of Medicine Showa Medical University  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takeshi","family":"Aoki","sequence":"additional","affiliation":[{"name":"Division of Gastroenterological and General Surgery, Department of Surgery, School of Medicine Showa Medical University  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6521-1085","authenticated-orcid":false,"given":"Hidekazu","family":"Yasunaga","sequence":"additional","affiliation":[{"name":"Faculty of Fiber Science and Engineering Kyoto Institute of Technology  Kyoto Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shinji","family":"Ando","sequence":"additional","affiliation":[{"name":"Department of Chemical Science &amp; Engineering Tokyo Institute of Technology  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,23]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000005425"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00423-024-03592-6"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/ags3.12000"}],"container-title":["Asian Journal of Endoscopic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ases.70361","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/ases.70361","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ases.70361","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T15:15:58Z","timestamp":1792163758000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ases.70361"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":3,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1111\/ases.70361"],"URL":"https:\/\/doi.org\/10.1111\/ases.70361","archive":["Portico"],"relation":{},"ISSN":["1758-5902","1758-5910"],"issn-type":[{"value":"1758-5902","type":"print"},{"value":"1758-5910","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]},"assertion":[{"value":"2026-03-26","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-24","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-23","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70361"}}