Early identification of the critical view of safety in laparoscopic cholecystectomy using indocyanine green fluorescence cholangiography: A randomised controlled study.

Autor:	Koong JK; Department of Surgery, Faculty of Medicine, University of Malaya, Jalan Universiti, 50603, Kuala Lumpur, Wilayah Perseketuan, Malaysia. Electronic address: jkkoong@um.edu.my., Ng GH; Department of Surgery, Faculty of Medicine, University of Malaya, Jalan Universiti, 50603, Kuala Lumpur, Wilayah Perseketuan, Malaysia. Electronic address: gaikhuey@gmail.com., Ramayah K; Department of Surgery, Faculty of Medicine, University of Malaya, Jalan Universiti, 50603, Kuala Lumpur, Wilayah Perseketuan, Malaysia. Electronic address: rkamar2@gmail.com., Koh PS; Department of Surgery, Faculty of Medicine, University of Malaya, Jalan Universiti, 50603, Kuala Lumpur, Wilayah Perseketuan, Malaysia. Electronic address: kohps2000@yahoo.com., Yoong BK; Department of Surgery, Faculty of Medicine, University of Malaya, Jalan Universiti, 50603, Kuala Lumpur, Wilayah Perseketuan, Malaysia. Electronic address: bkyoong@gmail.com.
Jazyk:	angličtina
Zdroj:	Asian journal of surgery [Asian J Surg] 2021 Mar; Vol. 44 (3), pp. 537-543. Date of Electronic Publication: 2020 Nov 19.
DOI:	10.1016/j.asjsur.2020.11.002
Abstrakt:	Background: Achieving critical view of safety (CVS) is vital during laparoscopic cholecystectomy (LC). There is no known study determining use of indocyanine green fluorescence cholangiography (ICGFC) in early identification of CVS during LC. This study aims to compare use of ICGFC in LC against conventional LC in early identification of CVS. Methodology: Patients undergoing LC in a single centre were randomized into ICGFC-LC and conventional LC. Surgery was performed by a single surgeon and the time taken to achieve CVS from the time of gallbladder fundus retraction was measured. Difficulty level for each surgery was rated and analysed using a modified scoring system (Level 1- Easy to Level 4-Very difficult). Results: 63 patients were recruited where mean time (min) to achieve CVS was 22.3 ± 12.9 in ICGFC-LC (n = 30) and 22.8 ± 14.3 in conventional LC (p = 0.867). The time taken to achieve CVS was shorter in ICGFC-LC group across all difficulty levels, although not significant (p > 0.05). No major complication was observed in the study. Conclusions: This study had shown ICGFC-LC reduces time to CVS across all difficulty levels but not statistically significant. ICGFC-LC maybe useful in difficult LC and in surgical training. Trial Registration: Clinical Trials NCT04228835. Study Grant: UMMI Surgical - Karl Storz Distributor (Malaysia). Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. Study grant: UMMI Surgical – Karl Storz Distributor (Malaysia) (Copyright © 2020. Published by Elsevier Taiwan LLC.)
Databáze:	MEDLINE
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