Indocyanine Green (ICG) Fluorescent Cholangiography During Robotic Cholecystectomy

Daskalaki, Despoina; Fernandes, Eduardo; Wang, Xiaoying; Bianco, Francesco M.; Elli, Enrique F.; Ayloo, Subashini; Masrur, Mario; Milone, Luca; Giulianotti, Pier Cristoforo

doi:10.1177/1553350614524839

Cited by 126 publications

(99 citation statements)

References 50 publications

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“…Within 4 to 5 min after application of fluorescein, the bile ducts emit a green fluorescence upon exposure to ultraviolet A light from an LED light source. The fluorescence enables clear differentiation between the biliary system and surrounding tissues (22)(23)(24)(25)(26). The extrahepatic biliary anatomy can be identified faster by fluorescence technique than by conventional white light.…”

Section: Cholecystectomymentioning

confidence: 95%

“…Fluorescence technique provides an additional tool for improving the safety of laparoscopic cholecystectomy. Generally, fluorescence technique can clearly distinguish the biliaryvascular anatomy, and no intraoperative or injection-related adverse effects have been reported (22)(23)(24)(25)(26). The invaluable information provided by this imaging system improves the safety of cholecystectomy and is useful for planning surgery.…”

Section: Cholecystectomymentioning

confidence: 99%

“…The extrahepatic biliary anatomy can be identified faster by fluorescence technique than by conventional white light. Tissues remain fluorescent for 42 to 77 min after application of fluorescein, which is a sufficient duration to complete most laparoscopic cholecystectomy procedures (22)(23)(24)(25)(26). Compared to white light, the fluorescence technique allows better and earlier real-time visualization of the biliary anatomy.…”

Section: Cholecystectomymentioning

confidence: 99%

“…The use of fluorescein and ultraviolet light improves visualization of the biliary topography during laparoscopic cholecystectomy (22)(23)(24)(25)(26). Within 4 to 5 min after application of fluorescein, the bile ducts emit a green fluorescence upon exposure to ultraviolet A light from an LED light source.…”

Section: Cholecystectomymentioning

confidence: 99%

“…The invaluable information provided by this imaging system improves the safety of cholecystectomy and is useful for planning surgery. Additionally, no case series studies of this procedure have reported bile duct injuries (22)(23)(24)(25)(26).…”

Section: Cholecystectomymentioning

confidence: 99%

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Indocyanine green-enhanced fluorescence for assessing parathyroid perfusion during thyroidectomy

Lavazza

Liu

et al. 2016

Gland Surg.

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Identification of the parathyroid glands during thyroid surgery may prevent their inadvertent surgical removal and thus provide a better postoperative quality of life. Nevertheless, the most common "technique" for intraoperative evaluation of perfusion of parathyroid gland tissues during thyroid surgery is visual inspection of the physical condition of tissues, e.g., their color and bleeding edges. Another technique is measurement of intact parathyroid hormone. Recently, indocyanine green-enhanced fluorescence has been used in various surgical techniques, particularly laparoscopic surgery, to improve visualization and to provide detailed anatomical information. Fluorescent optical guidance helps surgeons to avoid inadvertent tissue injury while enhancing procedural efficiency. This technique has potential use for evaluating perfusion of the parathyroid gland in real-time intraoperative angiography.

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Section: Cholecystectomymentioning

confidence: 95%

Section: Cholecystectomymentioning

confidence: 99%

Section: Cholecystectomymentioning

confidence: 99%

Section: Cholecystectomymentioning

confidence: 99%

Section: Cholecystectomymentioning

confidence: 99%

See 3 more Smart Citations

Indocyanine green-enhanced fluorescence for assessing parathyroid perfusion during thyroidectomy

Lavazza

Liu

et al. 2016

Gland Surg.

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Photophysical Properties of Indocyanine Green in the Shortwave Infrared Region

2021

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With the growing development of new contrast agents for optical imaging using near‐infrared and shortwave infrared (SWIR) wavelengths, it is essential to have consistent benchmarks for emitters in these regions. Indocyanine green (ICG), a ubiquitous and FDA‐approved organic dye and optical imaging agent, is commonly employed as a standard for photophysical properties and biological performance for imaging experiments at these wavelengths. Yet, its reported photophysical properties across organic and aqueous solvents vary greatly in the literature, which hinders its ability to be used as a consistent benchmark. Herein, we measure photophysical properties in organic and aqueous solvents using InGaAs detection (∼950–1,700 nm), providing particular relevance for SWIR imaging.

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Indocyanine green administration a day before surgery may increase bile duct detectability on fluorescence cholangiography during laparoscopic cholecystectomy

Matsumura

Kawaguchi

Kobayashi

et al. 2020

J Hepato Biliary Pancreat

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Background: The optimal indocyanine green (ICG) administration protocol for fluorescence cholangiography during laparoscopic cholecystectomy (LC) has yet to be determined. Methods: A prospective study including 20 cases of ICG fluorescence-navigated LC was conducted. Accordingly, the first 10 patients were administered 2.5 mg of ICG on the day of surgery after intubation (surgery-day group), while the remaining 10 consecutive patients were administered 0.25 mg/kg of ICG on the evening before surgery (one-day-before group). Fluorescence intensity (FI) of each tissue and FI ratios were then compared between both groups. Results: The median interval between observation and ICG administration was 27 minutes and 16 hours 24 minutes in the surgery-day and one-day-before group, respectively. Although FI values for the common bile duct (CBD), liver, and hepatoduodenal ligament (HDL) were significantly lower in the one-day-before group than in the surgery-day group, CBD-Liver contrast (0.7, 0.6-1.2 vs 2.5, 0.9 =-4.8; P < .001), and CBD-HDL contrast (1.7, 1.4-2.4 vs 2.3, 1.5-13.3; P = .038) were significantly higher in the one-day-before group than in the surgery-day group. Conclusion: ICG administration a day before LC may offer better CBD background contrast compared to administration just prior to surgery.

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Indocyanine Green (ICG) Fluorescent Cholangiography During Robotic Cholecystectomy

Abstract: ICG fluorescent cholangiography during robotic cholecystectomy is a safe and effective procedure that helps real-time visualization of the biliary tree anatomy.

Cited by 126 publications

References 50 publications

Indocyanine green-enhanced fluorescence for assessing parathyroid perfusion during thyroidectomy

Indocyanine green-enhanced fluorescence for assessing parathyroid perfusion during thyroidectomy

Photophysical Properties of Indocyanine Green in the Shortwave Infrared Region

Indocyanine green administration a day before surgery may increase bile duct detectability on fluorescence cholangiography during laparoscopic cholecystectomy

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