TY - JOUR T1 - Direct gallbladder indocyanine green injection technique to achieve critical view of safety in laparoscopic cholecystectomy JO - Cirugía Española (English Edition) T2 - AU - Cárdenas,Gabriel AU - Fornaguera,Ione AU - Díaz del Gobbo,Rafael AU - Ginestà,César SN - 21735077 M3 - 10.1016/j.cireng.2021.09.001 DO - 10.1016/j.cireng.2021.09.001 UR - https://www.elsevier.es/en-revista-cirugia-espanola-english-edition--436-articulo-direct-gallbladder-indocyanine-green-injection-S217350772100226X AB - IntroductionBile duct injury is one of the most severe complications after cholecystectomy. The aim of this study is to demonstrate how with a simple technique, an optimal critical view may be achieved by injecting indocyanine green directly into the gallbladder. MethodsTwenty-three patients were prospectively studied in which direct gallbladder injection of indocyanine green during laparoscopy was administered with a fine needle using an easily reproducible technique. ResultsBiliary tree identification was reported before and after injection. Critical view of safety was achieved in all cases. ConclusionsOur technique of direct gallbladder injection of indocyanine green is simple, efficient and shows a real time fluorescent cholangiography and an optimal critical view of safety decreasing the risk for bile duct injury. ER -