Indocyanine green fluorescent cholangiography: The new standard practice to perform laparoscopic cholecystectomy in pediatric patients
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- ICG fluorescence during pediatric laparoscopic cholecystectomy reduced complications from 12% to 0% in this 173-patient Italian study
- ICG use shortened operative time and improved biliary tree visualization compared to standard technique
- Authors propose ICG-guided cholecystectomy as new standard practice for pediatric patients
- Study compared 83 non-ICG cases to 90 ICG cases retrospectively at a single Italian center
- ICG may prevent bile duct injuries through real-time anatomical identification during dissection
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Do you use ICG for standard laparoscopic cholecystectomy? Hi, I'm Cecilia Hyena from Cincinnati Children's Hospital, and I think this is an article that you should know about. This is a retrospective comparison done in Italy between the laparoscopic cholecystectomy with, Without ICG and what did they find? They had 83 patients in group one that was laparoscopic cholecystectomy without ICG and 90 patients in group two, there was laparoscopic cholecystectomy with ICG. And what they found is that group two, meaning with ICG, had no complications compared to 12% in group one, had shorter surgery time, and a better visualization of the biliary tree. So it seems that laparoscopic cholecystectomy with ICG can be the new standard in our practice. Let us know what you think and stay tuned for more articles that you should know about.