ISSN: 1859 - 2872
Results of laparoscopic cholecystectomy using indocyanine green fluorescence (ICG)
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Abstract
Objective: To evaluate the results of laparoscopic cholecystectomy using Indocyanine Green fluorescence (ICG). Subject and method: Prospective study was conducted on of patients with laparoscopic cholecystectomy using fluorescent ICG to treat gallbladder disease from May 2021 to May 2022 in 108 Military Central Hospital. Result: 68 patients were treated with laparoscopic cholecystectomy using fluorescein ICG, the age mean of the patients were 55.4 ± 16.2 years, and the male/female ratio was 1.52. Chronic cholecystitis caused by stones accounted for the majority (51.47%); using ICG fluorescence detected 7.35% of cases with anatomical changes of the extrahepatic biliary tract, clearly identifying the anatomy of the common bile duct and the cystic duct was 100% and 92.65%, the average of surgical time was 42.8 ± 14.6 minutes. There were no cases of complications and side-effects of ICG, the average of hospital stay was 2.8 ± 1.5 days. Conclusion: ICG fluorescence imaging allows surgeons to clearly identify critical anatomical landmarks in laparoscopic cholecystectomy. Thereby helping the surgery to be performed safely, avoiding severe complications due to damage to the biliary tract.
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References
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