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Inicio Cirugía Española (English Edition) Direct gallbladder indocyanine green injection technique to achieve critical vie...
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Vol. 99. Issue 9.
Pages 678-682 (November 2021)
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Vol. 99. Issue 9.
Pages 678-682 (November 2021)
Innovation in surgical technique
Direct gallbladder indocyanine green injection technique to achieve critical view of safety in laparoscopic cholecystectomy
Técnica de punción de verde de indocianina intravesicular para conseguir una visión crítica de seguridad durante la colecistectomía por laparoscopia
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Gabriel Cárdenas
Corresponding author
gcardenas.md@gmail.com

Corresponding author.
, Ione Fornaguera, Rafael Díaz del Gobbo, César Ginestà
Servicio de Cirugía General y Digestiva, Hospital HM Delfos, Barcelona, Spain
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Table 1. Characteristics of pacients with acute cholecystitis.
Abstract
Introduction

Bile 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.

Methods

Twenty-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.

Results

Biliary tree identification was reported before and after injection. Critical view of safety was achieved in all cases.

Conclusions

Our 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.

Keywords:
Laparoscopic cholecystectomy
Indocyanine green
Fluorescence cholangiography
Critical view
Bile duct injury
Resumen
Introducción

La lesión de vía biliar continúa siendo una de las complicaciones más graves tras la colecistectomía. El objetivo de este estudio es mostrar una técnica sencilla para la administración del verde de indocianina intravesicular, consiguiendo una visión crítica óptima durante la colecistectomía laparoscópica.

Métodos

Se estudiaron prospectivamente 23 pacientes con administración intravesicular de verde de indocianina con aguja fina utilizando una técnica fácilmente reproducible.

Resultados

Se reportó la visión de las estructuras biliares antes y después de su administración. La visión crítica de seguridad se consiguió en todos los casos.

Conclusiones

La administración intravesicular de verde indocianina mediante la técnica que describimos es sencilla, efectiva y consigue una colangiografía por fluorescencia en tiempo real y una visión crítica de seguridad óptima, disminuyendo así el riesgo de lesión biliar.

Palabras clave:
Colecistectomía laparoscópica
Verde de indocianina
Colangiografía fluorescente
Visión crítica
Lesión biliar

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