Routine Use of Indocyanine Green Fluorescence Cholangiography in Cholecystectomy at Marginal Cost and High Dividends: Subvesical Duct Identified

IF 0.4 4区 医学 Q4 SURGERY
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引用次数: 0

Abstract

Subvesical ducts are a common source of post-cholecystectomy bile leaks. These ducts typically run along the gallbladder (GB) bed and drain into the right hepatic duct or the common hepatic duct. Identifying these and other morbid anatomical structures at the time of routine cholecystectomy for safe surgery, the use of indocyanine green fluorescence (ICGF) is highly recommended. This case demonstrates the identification of the subvesical bile duct during dissection, which prevented inadvertent injury and bile leakage. While this was an incidental case, it serves as the basis for our argument that ICGF should be routinely used in high-volume centres. After the initial capital investment, the running costs are low. A cost-benefit analysis should be conducted regarding the routine use of ICGF in high-volume hepato-biliary and cholecystectomy performing units.

在胆囊切除术中常规使用吲哚青绿荧光胆管造影术,成本低,收益高:发现膀胱下导管
摘要 膀胱下管是胆囊切除术后胆漏的常见来源。这些管道通常沿着胆囊床运行,并排入右肝管或肝总管。为确保手术安全,在常规胆囊切除术时,强烈建议使用吲哚菁绿荧光(ICGF)来识别这些和其他病变解剖结构。本病例展示了在解剖过程中对肚脐下胆管的识别,从而避免了意外损伤和胆汁渗漏。虽然这是一个偶然的病例,但它为我们提供了论据,即 ICGF 应在大容量中心常规使用。在初始资本投资之后,运行成本很低。应该对在大容量肝胆和胆囊切除术实施单位常规使用 ICGF 进行成本效益分析。
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来源期刊
CiteScore
0.60
自引率
25.00%
发文量
412
审稿时长
6-12 weeks
期刊介绍: The Indian Journal of Surgery is the official publication of the Association of Surgeons of India that considers for publication articles in all fields of surgery. Issues are published bimonthly in the months of February, April, June, August, October and December. The journal publishes Original article, Point of technique, Review article, Case report, Letter to editor, Teachers and surgeons from the past - A short (up to 500 words) bio sketch of a revered teacher or surgeon whom you hold in esteem and Images in surgery, surgical pathology, and surgical radiology. A trusted resource for peer-reviewed coverage of all types of surgery Provides a forum for surgeons in India and abroad to exchange ideas and advance the art of surgery The official publication of the Association of Surgeons of India 92% of authors who answered a survey reported that they would definitely publish or probably publish in the journal again The Indian Journal of Surgery offers peer-reviewed coverage of all types of surgery. The Journal publishes Original articles, Points of technique, Review articles, Case reports, Letters, Images and brief biographies of influential teachers and surgeons. The Journal spans General Surgery, Pediatric Surgery, Neurosurgery, Plastic Surgery, Cardiothoracic Surgery, Vascular Surgery, Rural Surgery, Orthopedic Surgery, Urology, Surgical Oncology, Radiology, Anaesthesia, Trauma Services, Minimal Access Surgery, Endocrine Surgery, GI Surgery, ENT, Colorectal Surgery, surgical practice and research. The Journal provides a forum for surgeons from India and abroad to exchange ideas, to propagate the advancement of science and the art of surgery and to promote friendship among surgeons in India and abroad. This has been a trusted platform for surgons in communicating up-to-date scientific informeation to the community.
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