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| Name | ICG LAPAROSCOPIC CHOLECYSTECTOMY |
| Video Uploader | Video From SHANTI MEMORIAL HOSPITAL |
| Upload Date | This Video Uploaded At 13-06-2021 06:42:10 |
| Video Discription | Cholecystectomy is one of the most commonly performed procedures in general surgery with over a million procedures worldwide each year . The minimal invasive access, notably laparoscopic route now represents the standard procedure for patients with benign gallbladder disorders. Bile duct injury with varying severity represents the most feared complication following laparoscopic cholecystectomy . The lifetime risk bile duct injury following laparoscopic cholecystectomy for gallbladder stones without acute inflammation in the hands of an experienced surgeon has been reported to be about 0.4%. Laparoscopic cholecystectomy for acute cholecystitis has been shown to be associated with a much higher risk of bile duct injury with rates as high as 4% being reported in the literature depending on the extent of gallbladder inflammation. Although a large portion of bile duct injury consist of minor injuries, extensive and complex injuries to the biliary tree during laparoscopic cholecystectomy might have devastating consequences for the patients involved. Many measures have been implemented to reduce the risk of bile duct injury during laparoscopic cholecystectomy. The critical view of safety and dissection within the triangle of calot constitute the most commonly employed means of prevention or reducing bile duct injury [8]. Intraoperative sonographic and radiographic examination of the biliary tree constitute standard methods for studying the biliary anatomy during surgery . Despite these measures, bile duct injury still remains a serious problem. Intraoperative studies of the biliary tree have been achieved using Indocyanine Green ICG . ICG is a water soluble tricarbocyanine molecule that is almost completely protein bound following intravenous injection. ICG is metabolized by the liver and excreted in bile. The angiographic feature of ICG is based on its fluorescent character in the near-infrared range between 790 and 805 nm, which can be detected by specialized infrared video cameras. The fact that ICG is metabolized in the liver and excreted via bile makes it an excellent medium for biliary tree imaging . Herein we report our experience with lifetime IGC imaging of the biliary tree in patients undergoing laparoscopic cholecystectomy for benign gallbladder disorders and compared the outcomes of patients undergoing laparoscopic cholecystectomy with and without ICG. |
| Category | People & Blogs |
| Tags | ICG | LAPCHOLE | CHOLECYSTECTOMY | LAP | GALL BLADDER | SURGERY |
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