Annals of Surgical Treatment and Research

The Korean Surgical Society (대한외과학회)
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Cystic duct variation detected by near-infrared fluorescent cholangiography during laparoscopic cholecystectomy

  • Kim, Nam Seok (Department of Hepatobiliary and Pancreas Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea) ;
  • Jin, Hyeong Yong (Department of Hepatobiliary and Pancreas Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea) ;
  • Kim, Eun Young (Department of Hepatobiliary and Pancreas Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea) ;
  • Hong, Tae Ho (Department of Hepatobiliary and Pancreas Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea)
  • Received : 2016.06.22
  • Accepted : 2016.08.03
  • Published : 2017.01.01
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Abstract

Near-infrared fluorescent cholangiography (NIRFC) is an emerging technique for easy intraoperative recognition of biliary anatomy. We present a case of cystic duct variation detected by NIRFC which had a potential risk for biliary injury if not detected. A 32-year-old female was admitted to the Seoul St. Mary's Hospital for surgery for an incidental gallbladder polyp. We performed laparoscopic cholecystectomy with NIRFC. In fluorescence mode, a long cystic duct and an accessory short hepatic duct joining to the cystic duct were found and the operation was completed safely. The patient recovered successfully. NIRFC is expected to be a promising procedure that will help minimize biliary injury during laparoscopic cholecystectomy.

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References

  1. Flum DR, Cheadle A, Prela C, Dellinger EP, Chan L. Bile duct injury during cholecystectomy and survival in medicare beneficiaries. JAMA 2003;290:2168-73. https://doi.org/10.1001/jama.290.16.2168
  2. Archer SB, Brown DW, Smith CD, Branum GD, Hunter JG. Bile duct injury during laparoscopic cholecystectomy: results of a national survey. Ann Surg 2001;234:549-58. https://doi.org/10.1097/00000658-200110000-00014
  3. Khan OA, Balaji S, Branagan G, Bennett DH, Davies N. Randomized clinical trial of routine on-table cholangiography during laparoscopic cholecystectomy. Br J Surg 2011;98:362-7. https://doi.org/10.1002/bjs.7356
  4. Rothlin MA, Schob O, Schlumpf R, Largiader F. Laparoscopic ultrasonography during cholecystectomy. Br J Surg 1996; 83:1512-6. https://doi.org/10.1002/bjs.1800831107
  5. Sureka B, Bansal K, Patidar Y, Arora A. Magnetic resonance cholangiographic evaluation of intrahepatic and extrahepatic bile duct variations. Indian J Radiol Imaging 2016;26:22-32. https://doi.org/10.4103/0971-3026.178283
  6. Boni L, David G, Mangano A, Dionigi G, Rausei S, Spampatti S, et al. Clinical applications of indocyanine green (ICG) enhanced fluorescence in laparoscopic surgery. Surg Endosc 2015;29:2046-55. https://doi.org/10.1007/s00464-014-3895-x
  7. Strasberg SM. Avoidance of biliary injury during laparoscopic cholecystectomy. J Hepatobiliary Pancreat Surg 2002;9:543-7. https://doi.org/10.1007/s005340200071
  8. Dip FD, Asbun D, Rosales-Velderrain A, Lo Menzo E, Simpfendorfer CH, Szomstein S, et al. Cost analysis and effectiveness comparing the routine use of intraoperative fluorescent cholangiography with fluoroscopic cholangiogram in patients undergoing laparoscopic cholecystectomy. Surg Endosc 2014;28:1838-43. https://doi.org/10.1007/s00464-013-3394-5
  9. Liu YY, Kong SH, Diana M, Legner A, Wu CC, Kameyama N, et al. Near-infrared cholecysto-cholangiography with indocyanine green may secure cholecystectomy in difficult clinical situations: proof of the concept in a porcine model. Surg Endosc 2016;30:4115-23. https://doi.org/10.1007/s00464-015-4608-9
  10. Speich R, Saesseli B, Hoffmann U, Neftel KA, Reichen J. Anaphylactoid reactions after indocyanine-green administration. Ann Intern Med 1988;109:345-6.

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