Técnica de punción de verde de indocianina intravesicular para conseguir una visión crítica de seguridad durante la colecistectomía por laparoscopia / Direct gallbladder Indocyanine Green injection technique to achieve critical view of safety in laparoscopic cholecystectomy

Introducción: La lesión de vía biliar continúa siendo una de las complicaciones más graves tras la colecistectomía. El objetivo de este estudio es mostrar una técnica sencilla para la administración del verde de indocianina intravesicular, consiguiendo una visión crítica óptima durante la colecistectomía laparoscópica. Métodos: Se estudiaron prospectivamente 23 pacientes con administración intravesicular de verde de indocianina con aguja fina utilizando una técnica fácilmente reproducible. Resultados: Se reportó la visión de las estructuras biliares antes y después de su administración. La visión crítica de seguridad se consiguió en todos los casos. Conclusiones: La administración intravesicular de verde indocianina mediante la técnica que describimos es sencilla, efectiva y consigue una colangiografía por fluorescencia en tiempo real y una visión crítica de seguridad óptima, disminuyendo así el riesgo de lesión biliar. (AU)

Introduction: Bile duct injury is one of the most severe complications after cholecystectomy. The aim of this study is to demonstrate how with a simple technique, an optimal critical view may be achieved by injecting indocyanine green directly into the gallbladder. Methods: Twenty-three patients were prospectively studied in which direct gallbladder injection of indocyanine green during laparoscopy was administered with a fine needle using an easily reproducible technique. Results: Biliary tree identification was reported before and after injection. Critical view of safety was achieved in all cases. Conclusions: Our technique of direct gallbladder injection of indocyanine green is simple, efficient and shows a real time fluorescent cholangiography and an optimal critical view of safety decreasing the risk for bile duct injury. (AU)

Direct gallbladder indocyanine green injection technique to achieve critical view of safety in laparoscopic cholecystectomy.

INTRODUCTION: Bile duct injury is one of the most severe complications after cholecystectomy. The aim of this study is to demonstrate how with a simple technique, an optimal critical view may be achieved by injecting indocyanine green directly into the gallbladder. METHODS: Twenty-three patients were prospectively studied in which direct gallbladder injection of indocyanine green during laparoscopy was administered with a fine needle using an easily reproducible technique. RESULTS: Biliary tree identification was reported before and after injection. Critical view of safety was achieved in all cases. CONCLUSIONS: Our technique of direct gallbladder injection of indocyanine green is simple, efficient and shows a real time fluorescent cholangiography and an optimal critical view of safety decreasing the risk for bile duct injury.

Direct gallbladder Indocyanine Green injection technique to achieve critical view of safety in laparoscopic cholecystectomy. / Técnica de punción de verde de indocianina intravesicular para conseguir una visión crítica de seguridad durante la colecistectomía por laparoscopia.

INTRODUCTION: Bile duct injury is one of the most severe complications after cholecystectomy. The aim of this study is to demonstrate how with a simple technique, an optimal critical view may be achieved by injecting indocyanine green directly into the gallbladder. METHODS: Twenty-three patients were prospectively studied in which direct gallbladder injection of indocyanine green during laparoscopy was administered with a fine needle using an easily reproducible technique. RESULTS: Biliary tree identification was reported before and after injection. Critical view of safety was achieved in all cases. CONCLUSIONS: Our technique of direct gallbladder injection of indocyanine green is simple, efficient and shows a real time fluorescent cholangiography and an optimal critical view of safety decreasing the risk for bile duct injury.