Fluorescent cholangiography in laparoscopic cholecystectomy: the initial Canadian experience
| Autor: | Garth L. Warnock, Adam Meneghetti, Chris Zroback, Mark Meloche, Chieh Jack Chiu, Geoffrey Chow, Ormond N.M. Panton |
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| Rok vydání: | 2016 |
| Předmět: |
Adult
Indocyanine Green Male Canada medicine.medical_specialty genetic structures 030230 surgery Risk Assessment Fluorescence Cohort Studies 03 medical and health sciences chemistry.chemical_compound Postoperative Complications 0302 clinical medicine Cholangiography medicine Humans Intraoperative Complications Laparoscopic cholecystectomy Aged Retrospective Studies Intraoperative Care British Columbia medicine.diagnostic_test Bile duct business.industry General Medicine Middle Aged Surgery Biliary anatomy Dissection Treatment Outcome medicine.anatomical_structure Cholecystectomy Laparoscopic chemistry Elective Surgical Procedures Invasive surgery Female 030211 gastroenterology & hepatology Patient Safety Radiology Complication business Indocyanine green Follow-Up Studies |
| Zdroj: | The American Journal of Surgery. 211:933-937 |
| ISSN: | 0002-9610 |
| DOI: | 10.1016/j.amjsurg.2016.01.013 |
| Popis: | Background Bile duct injury remains a worrisome complication of laparoscopic cholecystectomy. Indocyanine Green (ICG) fluorescent cholangiography (FC) is a new approach that facilitates real-time intraoperative identification of biliary anatomy. This technology is hoped to improve the safety of dissection within Calot's triangle. Method Demographics, intraoperative details, and subjective surgeon data were recorded for elective cholecystectomy cases involving ICG. Goals were to identify rates of bile duct identification, and assess the perceived benefit of the device. Results ICG was used in 12 biliary cases in Canada. Visualization rates of the cystic and common bile ducts were 100% and 83%, respectively. Also, 83% of surgeons felt that FC incorporated smoothly into the operation. No complications have been related to the technology. Conclusions FC allows noninvasive real-time visualization of the extrahepatic biliary tree. This novel technique has received positive feedback in its initial Canadian use and will likely be a durable adjunct for minimally invasive surgery. |
| Databáze: | OpenAIRE |
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