Evaluation of laparoscopic cholecystectomy using indocyanine green cholangiography including cholecystitis: A retrospective study

• Published in: Medicine (Baltimore) 2018-07, Vol.97 (30), p.e11654-e11654
• Main Authors: Hiwatashi, Kiyokazu, Okumura, Hiroshi, Setoyama, Tetsuro, Ando, Kei, Ogura, Yoshito, Aridome, Kuniaki, Maenohara, Shigeho, Natsugoe, Shoji
• Format: Article
• Language: English
• Subjects: Acute Disease; Adult; Aged; Aged, 80 and over; Cholangiography - methods; Cholangiopancreatography, Magnetic Resonance; Cholecystectomy, Laparoscopic - methods; Cholecystitis - diagnostic imaging; Cholecystitis - surgery; Coloring Agents; Common Bile Duct - diagnostic imaging; Cystic Duct - diagnostic imaging; Female; Gallstones - diagnostic imaging; Gallstones - surgery; Humans; Indocyanine Green; Intraoperative Period; Male; Middle Aged; Observational Study; Retrospective Studies
• ISSN: 0025-7974; 1536-5964
• DOI: 10.1097/MD.0000000000011654

Intraoperative cholangiography involving the excretion of fluorescent indocyanine green (ICG) into the bile is used to determine biliary anatomy in laparoscopic cholecystectomy (LC). This study aimed to evaluate the features of intraoperative ICG cholangiography, in LC with cholecystitis, and compared the delineation of the cystic duct (CD) between ICG cholangiography and magnetic resonance cholangiopancreatography (MRCP).Participants comprised 65 patients undergoing LC using ICG cholangiography.Fifty-eight patients (89.2%) were diagnosed with gallbladder stones and 32 (49.2%) with acute cholecystitis. ICG cholangiography identified CD in 54 patients (83.1%) and did not identify CD in 11 patients (16.9%). The mean value of the fluorescence intensity in the identified CD group by ICG cholangiography was 87.6 ± 31.5 arbitrary unit and that in the not identified CD group by ICG cholangiography was 24.4 ± 10.1 arbitrary unit (P