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Corresponding Author

abdelaziz, ahmed

Document Type

Original Article

Abstract

ABSTRACT Background: The most feared consequence of (LC) is bile duct injury. Real-time intraoperative image with indocyanine green may lower the danger of bile duct injuries during laparoscopic cholecystectomy by enhancing visualization of the biliary tree. Objective: The purpose of this prospective research is to assess the role of ICG in bile duct visualization and prevention of CBD injury throughout laparoscopic cholecystectomy, with preoperative injection of ICG as regard prevention of intraoperative bile duct injury, and postsurgical complications after converting from laparoscopic to open cholecystectomy. Patients and Methods: This prospective randomized study was carried out from March 2021 to September 2021 at the Department of General Surgery, Al-Azhar University Hospitals, Cairo, Egypt. It included 50 adult patients with chronic calcular cholecystitis. Those patients were classified into two equal groups: laparoscopic cholecystectomy (LC) with and without ICG was done. Results: During the study period, 25 of whom had ICG and the other 25 did not. In groups with and without ICG, the median duration of residence was 1.0 day, while the median length of operation was 43.0 minutes versus 86.0 minutes. In the group without ICG, conversion occurred at a rate of 2.4%, whereas no conversion occurred in the ICG group. There was no bile duct injury in either group. There were no statistically significant differences between the groups. Conclusion: Laparoscopic cholecystectomy with real-time indocyanine green fluorescence cholangiography improves vision and detection of the biliary tree and, as a result, ought to be regarded as a way to increase (LC) safety.

Keywords

Keywords: Laparoscopic cholecystectomy; indocyanine green; Intraoperative fluorescence angiography; Bile Duct Injury

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