Fluorescent imaging with indocyanine green for intraoperative bilie ducts examination during laparoscopic cholecystectomy
https://doi.org/10.16931/1995-5464.20194131-138
Abstract
Aim. Assessment of the capability of early identification of the bile ducts using near infrared light and fluorescent agent indocyanine green in laparoscopic cholecystectomy in patients with an increased risk of bile duct injury.
Methods. Laparoscopic cholecystectomy using fluorescent imaging system was performed in 16 patients with different risk factors for bile duct injury.
Results. The use of intraoperative imaging in a number of cases facilitated the identification of tubular structures in the Calot triangle and allowed to avoid the conversion.
Conclusion. The first experience of intraoperative imaging of bile ducts using indocyanine green in laparoscopic cholecystectomy indicate that this method can become an important additional diagnostic procedure in patients with an increased risk of bile duct injury. Further research is needed to optimize methods, dosage, time and patient selection criteria.
About the Authors
D. N. Panchenkov
A.I. Еvdokimov Moscow State University of Medicine and Dentistry,
Federal scientific and clinical center of specialized types of medical care and medical technologies of FMBA of Russia,
Skobelkin State Scientific Center of Laser Medicine FMBA
Russian Federation
Russian Federation
Doct. of Sci. (Med.), Professor, Head of the laboratory of minimally invasive surgery, Advisor of Director – chief researcher
127473, Moscow, Delegatskaya str., 20, b. 1
115682, Moscow, Orekhovy bul. 28
121165, Moscow, Studyencheskaya str., 40
Yu. V. Ivanov
A.I. Еvdokimov Moscow State University of Medicine and Dentistry,
Federal scientific and clinical center of specialized types of medical care and medical technologies of FMBA of Russia
Russian Federation
Russian Federation
Doct. of Sci. (Med.), Professor, Chief of Department of surgery, Chief researcher of the laboratory of minimally invasive surgery
127473, Moscow, Delegatskaya str., 20, b. 1
115682, Moscow, Orekhovy bul. 28
K. A. Tupikin
A.I. Еvdokimov Moscow State University of Medicine and Dentistry
Russian Federation
Russian Federation
Cand. of Sci. (Med.), Senior researcher of the laboratory of minimally invasive surgery
127473, Moscow, Delegatskaya str., 20, b. 1
D. A. Astakhov
A.I. Еvdokimov Moscow State University of Medicine and Dentistry,
Federal scientific and clinical center of specialized types of medical care and medical technologies of FMBA of Russia
Russian Federation
Russian Federation
Cand. of Sci. (Med.), Leading researcher of the laboratory of minimally invasive surgery, oncologist
127473, Moscow, Delegatskaya str., 20, b. 1
115682, Moscow, Orekhovy bul. 28
R. V. Liskevich
A.I. Еvdokimov Moscow State University of Medicine and Dentistry,
Federal scientific and clinical center of specialized types of medical care and medical technologies of FMBA of Russia,
Skobelkin State Scientific Center of Laser Medicine FMBA
Russian Federation
Russian Federation
Junior researcher of the laboratory of minimally invasive surgery, surgeon
127473, Moscow, Delegatskaya str., 20, b. 1
115682, Moscow, Orekhovy bul. 28
121165, Moscow, Studyencheskaya str., 40
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Review
For citations:
Panchenkov D.N., Ivanov Yu.V., Tupikin K.A., Astakhov D.A., Liskevich R.V. Fluorescent imaging with indocyanine green for intraoperative bilie ducts examination during laparoscopic cholecystectomy. Annaly khirurgicheskoy gepatologii = Annals of HPB Surgery. 2019;24(4):131-138. (In Russ.) https://doi.org/10.16931/1995-5464.20194131-138
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