Objective:

To describe the use of indocyanine green (ICG) fluorescence guidance combined with intraoperative ultrasonography (IOUS) for laparoscopic parenchyma-sparing excision of selected perivascular focal nodular hyperplasia (FNH).

Approach:

Key Findings:

• Both patients underwent successful wedge excision with negative surgical margins.
• Estimated blood loss was 50 mL and 20 mL for the two cases, respectively.
• Incidental punctate hyperfluorescent foci were observed; one showed benign hyperplastic changes on histology.

Interpretation:

Remove unsupported conclusions about clinical value.

Limitations:

• The absence of hepatobiliary phase MRI before surgery limited preoperative diagnostic workup in Case 1.
• The clinical significance of incidental hyperfluorescent foci remains uncertain.

Conclusion:

Revise to reflect only the findings stated in the source without implications.

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