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VOLUME 13 , ISSUE 1 ( January-April, 2020 ) > List of Articles

Original Article

Role of Indocyanine Green in Laparoscopic Cholecystectomy

George Chilaka Obonna, Martin C Obonna

Keywords : Acute cholecystitis, Indocyanine green cholangiography, Laparoscopic cholecystectomy

Citation Information : Obonna GC, Obonna MC. Role of Indocyanine Green in Laparoscopic Cholecystectomy. World J Lap Surg 2020; 13 (1):1-3.

DOI: 10.5005/jp-journals-10033-1388

License: CC BY-NC 4.0

Published Online: 01-04-2020

Copyright Statement:  Copyright © 2020; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Background: The most feared complication during laparoscopic cholecystectomy (LC) is bile duct injury. Real-time intraoperative imaging using indocyanine green (ICG) reduces the risk of bile duct injury by improving visualization of the biliary tree during laparoscopy. This effect will also shorten operative time and hence reduce the dangers of prolonged operation time. It also subserves the diagnostic value in its use in the liver function test. Aim: This study was aimed to elucidate the role of ICG as an investigative tool that aids the operative procedure of laparoscopic cholecystectomy. Materials and methods: The analysis of case series of ICG laparoscopic cholecystectomy in our hospital—the World Laparoscopic Hospital, Gurgaon, India. Results: In all the cases, fluorescent cholangiography using intravenous injection of ICG has become the optimal tool to confirm the biliary tract anatomy during LC because it has potential advantages over radiographic cholangiography in that it does not require irradiation or dissection of the triangle of Calot. This early visualization of the cystic duct and additional imaging of the common bile duct (CBD) may increase safety in LC and offers an alternative to the intraoperative cholangiogram in patients with increased risk of CBD injury. Conclusion: Laparoscopic cholecystectomy with real-time ICG fluorescence cholangiography enables a better visualization and identification of the biliary tree and therefore should be considered as a means of increasing the safety of LC.


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