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Fluorescent cholangiography could prevent bile duct injury during laparoscopic cholecystectomy


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Journal
JAMA Surgery
Reuters Health - 03/09/2020 - Fluorescent cholangiography during laparoscopic cholecystectomy could prevent bile duct injury by improving visualization of biliary anatomy, according to a new review. "I think that fluorescence is a nice illustration of how surgeons can carefully and thoughtfully introduce beneficial new technology into clinical practice with informed patient consent and with minimal additional risk," Dr. Seth D. Goldstein of Ann and Robert H. Lurie Children's Hospital of Chicago told Reuters Health by email. Dr. Goldstein and Dr. Timothy D. Lautz, also at Lurie Children's, review fluorescent cholangiography in this setting in their report in JAMA Surgery. With fluorescent cholangiography (FC), indocyanine green is administered intravenously at least one hour preoperatively. Its exclusive hepatic clearance with biliary excretion allows its visualization after florescence in the near-infrared range. The fact that near-infrared light passe...


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