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- W4312763992 abstract "Introduction: Laparoscopic cholecystectomy (LC) for acute cholecystitis (AC) tends to be difficult even in experienced surgeons hands. Near-Infrared Fluorescent Cholangiography (NIRF-C) has shown to increase the visualization of biliary ducts. The aim of this study is to assess fluorescence effect for detection of biliary anatomy in patients with AC. Method: Urgently admitted patients with AC were considered for surgery using NIRF-C and included in study. The patients were stratified into two groups:Group1 mild; Group2 moderate AC. 12.5 mg of Indocyanine green (ICG) was administered intravenously 12 hours before surgery. Adapted visualization scales:Likert scale, Helpful score, Disturbed score were applied to document significance of NIRF-C. Results: A total of 34 patients underwent LC with NIRF-C. Mild AC was diagnosed in 21 (64%) and moderate AC in 12 (36%) patients. The NIRF-C visualization rate of the cystic duct (CD), common bile duct (CBD) and common hepatic duct (CHD) prior to dissection was 88%, 73%, 52% but after the dissection it improved to 91%, 91%, 73%, respectively. NIRF-C was considered to be helpful or highly helpful to detect CD in 29 (85%), CBD in 23 (68%) and CHD in 15 (44%) patients. The Likert scale visualization total amount showed statistically significant correlation with operative time (OT)(p= 0.007). The mean OT was 65 (35-140) minutes and mean hospital stay (HS) was 6(4-18) days, mean postoperative HS was 3(1-6) days. No postoperative complications were reported. Conclusions: NIRF-C is safe, easy applicable and effective method for real-time visualization of EHBD that improves surgeon's confidence performing LC." @default.
- W4312763992 created "2023-01-05" @default.
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- W4312763992 date "2022-01-01" @default.
- W4312763992 modified "2023-10-16" @default.
- W4312763992 title "Application of Fluorescence Image Guided Cholangiography for the Assessment of Biliary Anatomy in Patients with Acute Cholecystitis" @default.
- W4312763992 doi "https://doi.org/10.1016/j.hpb.2022.05.1180" @default.
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