Routine near infra-red indocyanine green fluorescent cholangiography versus intraoperative cholangiography during laparoscopic cholecystectomy: a case-matched comparison

Quaresima, Silvia; Balla, Andrea; Palmieri, Livia; Seitaj, Ardit; Fingerhut, Abe; Ursi, Pietro; Paganini, Alessandro M.

doi:10.1007/s00464-019-06970-0

Cited by 36 publications

(20 citation statements)

References 49 publications

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“…In another study, the CA was identified in 85.9% of cases when a second bolus of ICG was administrated [15]. However, two conditions might diminish FC sensitivity: obesity and acute cholecystitis [4,15,16].…”

Section: Fluorescent Cholangiographymentioning

confidence: 95%

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Transillumination of Calot’s Triangle on Laparoscopic Cholecystectomy: A Feasible Approach to Achieve a Critical View of Safety

Duarte¹,

Martínez²,

León³

et al. 2020

Cureus

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Background Laparoscopic cholecystectomy is currently one of the most commonly performed procedures globally. Morbidity of laparoscopic cholecystectomy is low; however, bile duct injury is still a feared complication. Despite worldwide efforts, the global incidence of bile duct injury remains higher for laparoscopic cholecystectomy compared with open cholecystectomy. Despite the general belief that the learning curve and lack of laparoscopic skills represent the most common causes of bile duct injuries, the principal cause is the misidentification of biliary anatomy. The aim of our study is to determine if laparoscopic transillumination is a feasible approach to bile and vascular structures visualization during laparoscopic cholecystectomy because the only other method for real-time visualization is fluorescent cholangiography, which can be cost-prohibitive and requires specialized equipment and training.

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Section: Fluorescent Cholangiographymentioning

confidence: 95%

“…Many studies have reported good results with the use of FC [4,[13][14][15][16]. This method requires administration of indocyanine green (ICG), commonly 2.5 mg or 0.05 mg/kg, 30 minutes before surgery [15].…”

Section: Fluorescent Cholangiographymentioning

confidence: 99%

Transillumination of Calot’s Triangle on Laparoscopic Cholecystectomy: A Feasible Approach to Achieve a Critical View of Safety

Duarte¹,

Martínez²,

León³

et al. 2020

Cureus

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“…9 A 9-point preoperative risk score to predict elective laparoscopic cholecystectomy's difficulty evaluates a shrunken gallbladder for 1 point. 10 The conversion rate for elective cholecystectomy varies between 3.16% and 7.5%. 9,[11][12][13] The shrunken gallbladder is rarely mentioned in the literature as the cause of conversion.…”

Section: Laparoscopic Ultrasound and Shrunken Gallbladdermentioning

confidence: 99%

“…15 Anatomical misinterpretation is one of the most common causes of BDI and VBI; thus, successful identification of anatomy around the gallbladder may effectively reduce the number of complications. 10,16,17 Methods of navigation include intraoperative cholangiography (IOC), CVS, near-infrared fluorescent cholangiography (NIRF-C), and LUS. 10 IOC is time consuming, involves radiation exposure, and sometimes dangerous dissection to cannulate the cystic duct that itself in case of mistaken anatomy may be the cause of BDI.…”

Section: Laparoscopic Ultrasound and Shrunken Gallbladdermentioning

confidence: 99%

Laparoscopic Ultrasound and Safe Navigation Around the Shrunken Gallbladder

Sebastian

Rudnicki

2021

Journal of Laparoendoscopic & Advanced Surgical Techniques

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Background: The contracted gallbladder may predispose to a higher rate of biliary or vasculobiliary injury (VBI). It is usually associated with unclear anatomy due to chronic inflammation and fibrosis in the hepatoduodenal ligament region. Laparoscopic ultrasound (LUS) can very effectively delineate anatomical conditions during cholecystectomy. Our study aimed to compare the visual and ultrasonographic navigation around the shrunken gallbladder. Materials and Methods: The study group consisted of 612 patients qualified for laparoscopic cholecystectomy. The shrunken gallbladder was diagnosed intraoperatively in 13 patients (2.1%). In 6 patients, the only intraoperative navigation method was a visual evaluation of anatomical conditions, and in 7 patients, the method was LUS. Results: The operating time and the length of hospital stay after surgery were significantly lower, the number of conversions was insignificantly lower, and the number of successful visualization of anatomical conditions was significantly higher in the LUS group. We did not observe any bile duct and VBI in patients with the shrunken gallbladder. Conclusions: The combination of the fundus-first and subtotal cholecystectomy with LUS navigation might be an effective proposal when coming across the shrunken gallbladder.

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“…There is also a wide range regarding time of injection, ranging from 24 hours prior to the operation to immediately after induction of anaesthesia (26,27). Both intravenous administration, as well as direct gallbladder injection, have been described (28).…”

Section: The Safety Of Lc Requires Correct Identi Cation Of Relevant mentioning

confidence: 99%

Systematic Review Protocol. Near Infra-Red Indocyanine Green Fluorescent Cholangiography Versus Intraoperative Cholangiography to Improve Safety in Laparoscopic Cholecystectomy for Gallstone Disease – A Systematic Review Protocol.

Boira

Memba

Bashir

et al. 2020

Preprint

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BackgroundLaparoscopic cholecystectomy has become the standard surgical approach in the treatment of cholelithiasis. The rate of bile duct injury increased significantly during the initial period of its implementation. Diverse surgical techniques and different imaging modalities have been described to provide enhanced views of the biliary anatomy and potentially prevent or early detect bile duct injuries. Both x-ray intraoperative cholangiography (IOC) and Near infra-red indocyanine green fluorescent cholangiography (NIR-ICG) have been described as safe and feasible techniques to assess biliary anatomy. The aim of this systematic review is to evaluate if NIR-ICG can visualise extrahepatic biliary anatomy more efficiently and safer than IOC in minimally invasive cholecystectomy for gallstone disease.MethodsLiterature search will be performed via Medline (PubMed), Embase, Scopus, the Cochrane Central Register of Controlled Trials and web of science. All randomised controlled clinical trials and prospective non-randomised controlled trials which report on comparison of NIR-ICG versus IOC will be included. All patients over 18 years old who require elective or urgent minimally invasive cholecystectomy (undergoing NIR-ICG during this procedure) due to gallstone disease both acute and chronic will be included. Primary outcomes will be ability to visualise extrahepatic biliary anatomy and time to obtain relevant images of the biliary tree.DiscussionOur research expects to give the reader a clear sense of the needed focus of future research and remaining uncertainties in the field. Understanding the benefits of this technique is critical to ensuring policymakers can make informed decisions as to where preventive efforts should be focused regarding specific imaging techniques. If ICG is proven to be faster and non-invasive, routine use could be encouraged and wide implementation could be a reality. Systematic review registrationIn accordance with the guidelines, our systematic review protocol was registered with the International Prospective Register of Systematic Reviews (PROSPERO), registration number CRD42020177991.

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Routine near infra-red indocyanine green fluorescent cholangiography versus intraoperative cholangiography during laparoscopic cholecystectomy: a case-matched comparison

Cited by 36 publications

References 49 publications

Transillumination of Calot’s Triangle on Laparoscopic Cholecystectomy: A Feasible Approach to Achieve a Critical View of Safety

Transillumination of Calot’s Triangle on Laparoscopic Cholecystectomy: A Feasible Approach to Achieve a Critical View of Safety

Laparoscopic Ultrasound and Safe Navigation Around the Shrunken Gallbladder

Systematic Review Protocol. Near Infra-Red Indocyanine Green Fluorescent Cholangiography Versus Intraoperative Cholangiography to Improve Safety in Laparoscopic Cholecystectomy for Gallstone Disease – A Systematic Review Protocol.

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