Efficacy of near-infrared fluorescence cholangiography using indocyanine green in laparoscopic cholecystectomy: A retrospective study
Context: While laparoscopy has been the standard procedure for gallstone treatment, recent advances including the use of indocyanine green (ICG) in laparoscopic cholecystectomy have made it easier to understand the biliary tree and reduce the risk of bile duct injury. Aims: In this retrospective stu...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2023-01-01
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| Series: | Journal of Minimal Access Surgery |
| Subjects: | |
| Online Access: | http://www.journalofmas.com/article.asp?issn=0972-9941;year=2023;volume=19;issue=1;spage=57;epage=61;aulast=Patankar |
| _version_ | 1797904757268938752 |
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| author | Roy Patankar R K Mishra Vivek Bindal C P Kothari Prashant Rahate Sreejoy Patnaik Jeevan Kankaria Samir Ranjan Nayak |
| author_facet | Roy Patankar R K Mishra Vivek Bindal C P Kothari Prashant Rahate Sreejoy Patnaik Jeevan Kankaria Samir Ranjan Nayak |
| author_sort | Roy Patankar |
| collection | DOAJ |
| description | Context: While laparoscopy has been the standard procedure for gallstone treatment, recent advances including the use of indocyanine green (ICG) in laparoscopic cholecystectomy have made it easier to understand the biliary tree and reduce the risk of bile duct injury.
Aims: In this retrospective study, we aim to determine the efficacy of ICG in near-infrared fluorescence cholangiography (NIRFC) for visualising biliary anatomy.
Settings and Design: A total of 90 patients with the symptoms of cholelithiasis were enrolled for this retrospective study.
Subjects and Methods: All the patients underwent cholecystectomy approximately 53.8 min (40–90 min) after the intravenous administration of mean volume 1.6 ml (1–2 ml) ICG. The surgeons used NIRFC along with ICG for real-time visualisation of biliary anatomy.
Results: The mean operative time for the surgery was 65.7 min (25-120 min) with no post-surgical complications observed in the patients. The average length of stay was 2 days (1–3 days). ICG usage with NIRFC enabled identification of cystic duct, common hepatic and common bile duct, the junction between common hepatic and bile duct, right and left hepatic duct in 87.7%, 94.4%, 80% and 14.4% of cases, respectively.
Conclusions: ICG fluorescence allowed successful visualisation of at least 1 biliary structure in 100% of cases. |
| first_indexed | 2024-04-10T09:53:57Z |
| format | Article |
| id | doaj.art-2c5a6fce45e94b769b335c1792855de9 |
| institution | Directory Open Access Journal |
| issn | 0972-9941 1998-3921 |
| language | English |
| last_indexed | 2024-04-10T09:53:57Z |
| publishDate | 2023-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Minimal Access Surgery |
| spelling | doaj.art-2c5a6fce45e94b769b335c1792855de92023-02-16T12:42:07ZengWolters Kluwer Medknow PublicationsJournal of Minimal Access Surgery0972-99411998-39212023-01-01191576110.4103/jmas.jmas_369_21Efficacy of near-infrared fluorescence cholangiography using indocyanine green in laparoscopic cholecystectomy: A retrospective studyRoy PatankarR K MishraVivek BindalC P KothariPrashant RahateSreejoy PatnaikJeevan KankariaSamir Ranjan NayakContext: While laparoscopy has been the standard procedure for gallstone treatment, recent advances including the use of indocyanine green (ICG) in laparoscopic cholecystectomy have made it easier to understand the biliary tree and reduce the risk of bile duct injury. Aims: In this retrospective study, we aim to determine the efficacy of ICG in near-infrared fluorescence cholangiography (NIRFC) for visualising biliary anatomy. Settings and Design: A total of 90 patients with the symptoms of cholelithiasis were enrolled for this retrospective study. Subjects and Methods: All the patients underwent cholecystectomy approximately 53.8 min (40–90 min) after the intravenous administration of mean volume 1.6 ml (1–2 ml) ICG. The surgeons used NIRFC along with ICG for real-time visualisation of biliary anatomy. Results: The mean operative time for the surgery was 65.7 min (25-120 min) with no post-surgical complications observed in the patients. The average length of stay was 2 days (1–3 days). ICG usage with NIRFC enabled identification of cystic duct, common hepatic and common bile duct, the junction between common hepatic and bile duct, right and left hepatic duct in 87.7%, 94.4%, 80% and 14.4% of cases, respectively. Conclusions: ICG fluorescence allowed successful visualisation of at least 1 biliary structure in 100% of cases.http://www.journalofmas.com/article.asp?issn=0972-9941;year=2023;volume=19;issue=1;spage=57;epage=61;aulast=Patankarbiliary anatomycholecystectomyindocyanine greeninfrared fluorescence |
| spellingShingle | Roy Patankar R K Mishra Vivek Bindal C P Kothari Prashant Rahate Sreejoy Patnaik Jeevan Kankaria Samir Ranjan Nayak Efficacy of near-infrared fluorescence cholangiography using indocyanine green in laparoscopic cholecystectomy: A retrospective study Journal of Minimal Access Surgery biliary anatomy cholecystectomy indocyanine green infrared fluorescence |
| title | Efficacy of near-infrared fluorescence cholangiography using indocyanine green in laparoscopic cholecystectomy: A retrospective study |
| title_full | Efficacy of near-infrared fluorescence cholangiography using indocyanine green in laparoscopic cholecystectomy: A retrospective study |
| title_fullStr | Efficacy of near-infrared fluorescence cholangiography using indocyanine green in laparoscopic cholecystectomy: A retrospective study |
| title_full_unstemmed | Efficacy of near-infrared fluorescence cholangiography using indocyanine green in laparoscopic cholecystectomy: A retrospective study |
| title_short | Efficacy of near-infrared fluorescence cholangiography using indocyanine green in laparoscopic cholecystectomy: A retrospective study |
| title_sort | efficacy of near infrared fluorescence cholangiography using indocyanine green in laparoscopic cholecystectomy a retrospective study |
| topic | biliary anatomy cholecystectomy indocyanine green infrared fluorescence |
| url | http://www.journalofmas.com/article.asp?issn=0972-9941;year=2023;volume=19;issue=1;spage=57;epage=61;aulast=Patankar |
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