Complications of Cholecystectomy: Risks of the Laparoscopic Approach and Protective Effects of Operative Cholangiography

Fletcher, David; Hobbs, Michael; Tan, Patrick; Valinsky, Liora; Hockey, Richard; Pikora, Terri; Knuiman, Matthew; Sheiner, H. J.; Edis, Anthony J.

doi:10.1097/00000658-199904000-00001

Cited by 481 publications

(379 citation statements)

References 28 publications

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“…Despite variation on opinions about the routine or selective use of IOC, it has demonstrated a reduction in the incidence of major BDI and expeditiously identifies insults at the time of surgery [2,13,52,59,[70][71][72][73]. Archer et al [13] reported that routine use of IOC increased detection of BDI from 45 % to 85 %, which is similar to the increased detection described by Ludwig et al [9] from 45 % to 90 %.…”

Section: Importance Of Intraoperative Detection Of Bdimentioning

confidence: 83%

Intraoperative cholangiography in the laparoscopic cholecystectomy era: why are we still debating?

et al. 2012

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Laparoscopic cholecystectomy is now one of the most frequently performed abdominal surgical procedures in the world. The most common major complication is bile duct injury, which can have catastrophic repercussions for patients and it has been suggested that intraoperative cholangiography may reduce the rate of bile duct injury. Whether this procedure should be performed routinely is still an active subject of debate. We discuss the available evidence and likely implications for the future.

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Section: Importance Of Intraoperative Detection Of Bdimentioning

confidence: 83%

Intraoperative cholangiography in the laparoscopic cholecystectomy era: why are we still debating?

et al. 2012

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“…Laparoscopic cholecystectomy is widely accepted as an effective treatment for benign gallbladder disease, but bile duct injury remains a serious complication, with an incidence of 0.3%–0.7% 1, 2, 3, 4, 5, 6. Bile duct injury is often caused by misinterpretation of the anatomical structures rather than by insufficient technical skills 7.…”

Section: Introductionmentioning

confidence: 99%

Optimal timing of preoperative indocyanine green administration for fluorescent cholangiography during laparoscopic cholecystectomy using the PINPOINT® Endoscopic Fluorescence Imaging System

Tsutsui

Yoshida

Nakagawa

et al. 2017

Asian J Endoscop Surgery

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IntroductionThe PINPOINT® Endoscopic Fluorescence Imaging System (Novadaq, Mississauga, Canada) allows surgeons to visualize the bile ducts during laparoscopic cholecystectomy. Surgeons can continue operation while confirming the bile ducts’ fluorescence with a bright‐field/color image. However, strong fluorescence of the liver can interfere with the surgery. Here, we investigated the optimal timing of indocyanine green administration to allow fluorescent cholangiography to be performed without interference from the liver fluorescence.MethodsA total of 72 patients who underwent laparoscopic cholecystectomy were included in this study. The timing of indocyanine green administration was set immediately before surgery and at 3, 6, 9, 12, 15, 18, and 24 h before surgery. The luminance intensity ratios of gallbladder/liver, cystic duct/liver, and common bile duct/liver were measured using the ImageJ software (National Institutes of Health, Bethesda, USA). Visibility of the gallbladder and bile ducts was classified into three categories (grades A, B, and C) based on the degree of visibility in contrast to the liver.ResultsThe luminance intensity ratio for the gallbladder/liver, cystic duct/liver, and common bile duct/liver was ≥1 in the 15‐, 18‐, and 24‐h groups. The proportion of cases in which evaluators classified the visibility of the gallbladder and bile ducts as grade A (best visibility) reached a peak in the 15‐h group and decreased thereafter.ConclusionsIn the present study, the optimal timing of indocyanine green administration for fluorescent cholangiography during laparoscopic cholecystectomy using the PINPOINT Endoscopic Fluorescence Imaging System was 15 h before surgery.

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“…Laparoscopic cholecystectomy is recommended in co-incidental biliary pathology including acute cholecystitis episode, obstructive jaundice, previous biliary pancreatitis and history of abdominal surgery. These condition are associated with a higher conversation rate, a prolonged operating time, an increased post operative wound infection and a longer postoperative time [23][24][25][26]. Innumerable anatomic variations of extrahepatic biliary system have been described in the literature.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic Cholecystectomy Results In Patients With Different Age Groups

Yetim¹,

Dervişoğlu²,

Karaköse³

et al. 2011

Ann Clin Anal Med

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Complications of Cholecystectomy: Risks of the Laparoscopic Approach and Protective Effects of Operative Cholangiography

Cited by 481 publications

References 28 publications

Intraoperative cholangiography in the laparoscopic cholecystectomy era: why are we still debating?

Intraoperative cholangiography in the laparoscopic cholecystectomy era: why are we still debating?

Optimal timing of preoperative indocyanine green administration for fluorescent cholangiography during laparoscopic cholecystectomy using the PINPOINT® Endoscopic Fluorescence Imaging System

Laparoscopic Cholecystectomy Results In Patients With Different Age Groups

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