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Takeaki Ishizawa, MD; Yasutsugu Bandai, MD, PhD; Norihiro Kokudo, MD, PhD

Arch Surg. 2009;144(4):381-382.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Intraoperative cholangiography (IOC) is recommended to prevent bile duct injury during laparoscopic cholecystectomy.¹ However, conventional radiographic IOC in a laparoscopic setting is time-consuming, and insertion of a transcystic tube for contrast-material injection may in itself cause bile duct injury.² Furthermore, conventional IOC exposes the patient and medical staff to radiation and usually requires a large fluoroscopy machine and additional human resources.³ Recently, we developed a novel fluorescent IOC technique using the intravenous injection of indocyanine green (ICG) to delineate the biliary tract during an open cholecystectomy.⁴ Herein, we report our initial experience applying fluorescent IOC to laparoscopic cholecystectomy using a newly devised laparoscopic fluorescent imaging system.

Our fluorescent IOC technique is based on the principle that ICG is excreted into bile and that protein-bound ICG emits light with a peak wavelength of approximately 830 nm when illuminated with near-infrared . . . [Full Text of this Article]

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RELATED LETTERS

Fluorescent Indocyanine Green for Imaging of Bile Ducts During Laparoscopic Cholecystectomy
Demetrius Pertsemlidis
Arch Surg. 2009;144(10):978.
EXTRACT | FULL TEXT  

Patient Safety in Laparoscopic Cholecystectomy
Brij B. Agarwal
Arch Surg. 2009;144(10):979.
EXTRACT | FULL TEXT  

Patient Safety in Laparoscopic Cholecystectomy—Reply
Takeaki Ishizawa, Yasutsugu Bandai, and Norihiro Kokudo
Arch Surg. 2009;144(10):979.
EXTRACT | FULL TEXT  

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Single-Incision Laparoscopic Surgery for Cholecystectomy: A Retrospective Comparison With 4-Port Laparoscopic Cholecystectomy
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Fluorescent Indocyanine Green for Imaging of Bile Ducts During Laparoscopic Cholecystectomy
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Arch Surg 2009;144:978-978.
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Patient Safety in Laparoscopic Cholecystectomy--Reply
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Arch Surg 2009;144:979-979.
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