Real-time indocyanine green (ICG) guided surgery has been reported to be safe for cholangiography in laparoscopic cholecystectomy (LC). Laparoscopic fenestration (LF) is a standard and safe procedure for liver cysts. However, no cases had been reported for simultaneous treatment of fenestration and cholecystectomy using ICG guided laparoscopic surgery. In this presented study, a case of successful simultaneous treatment of LF and LC was reported using ICG to prevent biliary injury. A 72-year-old man diagnosed with multiple hepatic cysts and gallstones was given 0.1 mg ICG intravenously 20 min before surgery. ICG cholangiography clearly showed the common bile duct and the liver parenchyma for LC. The cystohepatic triangle was safely dissected without injuring the common bile duct using the merge view mode. ICG fluorescence cholangiography clearly showed the biliary ducts inside the cyst and distinguished the wall of cysts from parenchyma. Only the cyst walls were resected to the greatest extent possible without injuring surrounding bile ducts. With the administration of 0.1 mg ICG intravenously 20 min before surgery, real-time ICG guided surgery is safe for simultaneous LF and LC for avoidance of bile duct injury. In conclusion, administration of 0.1 mg ICG intravenously 20 min before surgery is an applicable dose and timing for ICG guided simultaneous LF and LC and deserves popularization.
| Published in | Clinical Medicine Research (Volume 11, Issue 5) |
| DOI | 10.11648/j.cmr.20221105.15 |
| Page(s) | 145-149 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2022. Published by Science Publishing Group |
Indocyanine Green, Laparoscopic Fenestration, Laparoscopic Cholecystectomy, Cholangiography, Hepatic Cysts
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APA Style
Hui Liu, Jiao Kuang, Yu Huang, Shuai Zhang, Jiefeng Weng, et al. (2022). Indocyanine Green Fluorescence–Guided Avoidance of Bile Duct Injury During Simultaneous Laparoscopic Fenestration and Cholecystectomy. Clinical Medicine Research, 11(5), 145-149. https://doi.org/10.11648/j.cmr.20221105.15
ACS Style
Hui Liu; Jiao Kuang; Yu Huang; Shuai Zhang; Jiefeng Weng, et al. Indocyanine Green Fluorescence–Guided Avoidance of Bile Duct Injury During Simultaneous Laparoscopic Fenestration and Cholecystectomy. Clin. Med. Res. 2022, 11(5), 145-149. doi: 10.11648/j.cmr.20221105.15
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Download@article{10.11648/j.cmr.20221105.15,
author = {Hui Liu and Jiao Kuang and Yu Huang and Shuai Zhang and Jiefeng Weng and Yueyuan Lai and Zhaofeng Wu and Keqiang Ma and Weili Gu},
title = {Indocyanine Green Fluorescence–Guided Avoidance of Bile Duct Injury During Simultaneous Laparoscopic Fenestration and Cholecystectomy},
journal = {Clinical Medicine Research},
volume = {11},
number = {5},
pages = {145-149},
doi = {10.11648/j.cmr.20221105.15},
url = {https://doi.org/10.11648/j.cmr.20221105.15},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cmr.20221105.15},
abstract = {Real-time indocyanine green (ICG) guided surgery has been reported to be safe for cholangiography in laparoscopic cholecystectomy (LC). Laparoscopic fenestration (LF) is a standard and safe procedure for liver cysts. However, no cases had been reported for simultaneous treatment of fenestration and cholecystectomy using ICG guided laparoscopic surgery. In this presented study, a case of successful simultaneous treatment of LF and LC was reported using ICG to prevent biliary injury. A 72-year-old man diagnosed with multiple hepatic cysts and gallstones was given 0.1 mg ICG intravenously 20 min before surgery. ICG cholangiography clearly showed the common bile duct and the liver parenchyma for LC. The cystohepatic triangle was safely dissected without injuring the common bile duct using the merge view mode. ICG fluorescence cholangiography clearly showed the biliary ducts inside the cyst and distinguished the wall of cysts from parenchyma. Only the cyst walls were resected to the greatest extent possible without injuring surrounding bile ducts. With the administration of 0.1 mg ICG intravenously 20 min before surgery, real-time ICG guided surgery is safe for simultaneous LF and LC for avoidance of bile duct injury. In conclusion, administration of 0.1 mg ICG intravenously 20 min before surgery is an applicable dose and timing for ICG guided simultaneous LF and LC and deserves popularization.},
year = {2022}
}
TY - JOUR T1 - Indocyanine Green Fluorescence–Guided Avoidance of Bile Duct Injury During Simultaneous Laparoscopic Fenestration and Cholecystectomy AU - Hui Liu AU - Jiao Kuang AU - Yu Huang AU - Shuai Zhang AU - Jiefeng Weng AU - Yueyuan Lai AU - Zhaofeng Wu AU - Keqiang Ma AU - Weili Gu Y1 - 2022/10/17 PY - 2022 N1 - https://doi.org/10.11648/j.cmr.20221105.15 DO - 10.11648/j.cmr.20221105.15 T2 - Clinical Medicine Research JF - Clinical Medicine Research JO - Clinical Medicine Research SP - 145 EP - 149 PB - Science Publishing Group SN - 2326-9057 UR - https://doi.org/10.11648/j.cmr.20221105.15 AB - Real-time indocyanine green (ICG) guided surgery has been reported to be safe for cholangiography in laparoscopic cholecystectomy (LC). Laparoscopic fenestration (LF) is a standard and safe procedure for liver cysts. However, no cases had been reported for simultaneous treatment of fenestration and cholecystectomy using ICG guided laparoscopic surgery. In this presented study, a case of successful simultaneous treatment of LF and LC was reported using ICG to prevent biliary injury. A 72-year-old man diagnosed with multiple hepatic cysts and gallstones was given 0.1 mg ICG intravenously 20 min before surgery. ICG cholangiography clearly showed the common bile duct and the liver parenchyma for LC. The cystohepatic triangle was safely dissected without injuring the common bile duct using the merge view mode. ICG fluorescence cholangiography clearly showed the biliary ducts inside the cyst and distinguished the wall of cysts from parenchyma. Only the cyst walls were resected to the greatest extent possible without injuring surrounding bile ducts. With the administration of 0.1 mg ICG intravenously 20 min before surgery, real-time ICG guided surgery is safe for simultaneous LF and LC for avoidance of bile duct injury. In conclusion, administration of 0.1 mg ICG intravenously 20 min before surgery is an applicable dose and timing for ICG guided simultaneous LF and LC and deserves popularization. VL - 11 IS - 5 ER -
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