Abstract
Purpose:
To demonstrate that the use of indocyanine green fluorescent cholangiography (ICG-FC) in the pediatric patient population during laparoscopic cholecystectomy (LC) allows identification of the biliary tree and is safe and reproducible.
Methods:
After reconstitution 2.5 mg ICG injected intravenously in the operating room before incision. A fluorescent laparoscopic imaging system was used. Intraoperatively switching the camera view from normal to ICG wavelength allows visualization of the biliary tree.
Results:
ICG-FC was used in 29 pediatric LC. Ages ranged from 6 to 18 years. In all patients the dye delineated the extrahepatic biliary anatomy, illuminating the common hepatic and common bile duct. There were no complications noted. Average operative time was ∼16 minutes less using ICG-FC providing an overall cost savings.
Conclusions:
ICG-FC provides a noninvasive real-time visualization of the extrahepatic biliary tree. We demonstrate that ICG-FC can successfully be used as an adjunct in pediatric patients and has the potential to facilitate with the dissection and minimize the risk of bile duct injuries during laparoscopic cholecystectomies.
Runtime of video: 4 mins 30 secs
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