Clinical value of fluorescent cholangiography for the infraportal type of right posterior bile duct.
Infraportal type of right posterior bile duct
fluorescent cholangiography
laparoscopic cholecystectomy
single-incision laparoscopic cholecystectomy
Journal
Minimally invasive therapy & allied technologies : MITAT : official journal of the Society for Minimally Invasive Therapy
ISSN: 1365-2931
Titre abrégé: Minim Invasive Ther Allied Technol
Pays: England
ID NLM: 9612996
Informations de publication
Date de publication:
Oct 2023
Oct 2023
Historique:
medline:
7
11
2023
pubmed:
8
6
2023
entrez:
8
6
2023
Statut:
ppublish
Résumé
The infraportal type of the right posterior bile duct (infraportal RPBD) is a well-known anatomical variation that increases the potential risk of intraoperative biliary injury. The aim of this study is to clarify the clinical value of fluorescent cholangiography during single-incision laparoscopic cholecystectomy (SILC) for patients with infraportal RPBD. Our procedure for SILC utilized the SILS-Port, and another 5-mm forceps was inserted Thirty-one patients underwent fluorescent cholangiography during SILC, but the remaining ten did not. Only one patient who did not undergo fluorescent cholangiography developed an intraoperative biliary injury. The detectability of infraportal RPBD before and during the dissection of Calot's triangle was 16.1% and 45.2%, respectively. These visible infraportal RPBDs were characterized as connections to the common bile duct. The confluence pattern of infraportal RPBD significantly influenced its detectability during the dissection of Calot's triangle ( The application of fluorescent cholangiography can lead to safe SILC, even for patients with infraportal RPBD. Its benefit is emphasized when infraportal RPBD is connected to the common bile duct.
Sections du résumé
BACKGROUND
UNASSIGNED
The infraportal type of the right posterior bile duct (infraportal RPBD) is a well-known anatomical variation that increases the potential risk of intraoperative biliary injury. The aim of this study is to clarify the clinical value of fluorescent cholangiography during single-incision laparoscopic cholecystectomy (SILC) for patients with infraportal RPBD.
MATERIAL AND METHODS
UNASSIGNED
Our procedure for SILC utilized the SILS-Port, and another 5-mm forceps was inserted
RESULTS
UNASSIGNED
Thirty-one patients underwent fluorescent cholangiography during SILC, but the remaining ten did not. Only one patient who did not undergo fluorescent cholangiography developed an intraoperative biliary injury. The detectability of infraportal RPBD before and during the dissection of Calot's triangle was 16.1% and 45.2%, respectively. These visible infraportal RPBDs were characterized as connections to the common bile duct. The confluence pattern of infraportal RPBD significantly influenced its detectability during the dissection of Calot's triangle (
CONCLUSIONS
UNASSIGNED
The application of fluorescent cholangiography can lead to safe SILC, even for patients with infraportal RPBD. Its benefit is emphasized when infraportal RPBD is connected to the common bile duct.
Identifiants
pubmed: 37288773
doi: 10.1080/13645706.2023.2217915
doi:
Substances chimiques
Indocyanine Green
IX6J1063HV
Coloring Agents
0
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM