SINGLE-INCISION LAPAROSCOPIC CHOLECYSTECTOMY IN A CASE OF RIGHT-SIDED ROUND LIGAMENT UTILIZING INDOCYANINE-GREEN FLUORESCENT CHOLANGIOGRAPHY

DOI Web Site 3 Citations 23 References
  • HIROYOSHI Junko
    Hepato-Biliary-Pancreatic Surgery Division, Department of Surgery, Graduate School of Medicine, University of Tokyo
  • ISHIZAWA Takeaki
    Hepato-Biliary-Pancreatic Surgery Division, Department of Surgery, Graduate School of Medicine, University of Tokyo
  • SHINDOH Junichi
    Hepato-Biliary-Pancreatic Surgery Division, Department of Surgery, Graduate School of Medicine, University of Tokyo
  • KANEKO Junichi
    Hepato-Biliary-Pancreatic Surgery Division, Department of Surgery, Graduate School of Medicine, University of Tokyo
  • HASEGAWA Kiyoshi
    Hepato-Biliary-Pancreatic Surgery Division, Department of Surgery, Graduate School of Medicine, University of Tokyo
  • KOKUDO Norihiro
    Hepato-Biliary-Pancreatic Surgery Division, Department of Surgery, Graduate School of Medicine, University of Tokyo

Bibliographic Information

Other Title
  • 蛍光胆道造影を利用して単孔式腹腔鏡下胆摘術を施行した右側肝円索の１例

Search this article

Description

A 43-year-old female patient with cholecystolithiasis and a right-sided round ligament underwent single-incision laparoscopic cholecystectomy, utilizing indocyanine-green (ICG) fluorescent cholangiography to identify the anatomy of the extrahepatic bile ducts in real time. As a fluorescent source, 1 ml of ICG (2.5 mg/ml) was injected intravenously after intubation in the operating room. The laparoscope of the fluorescent imaging system was introduced through a subumbilical trocar and fluorescent cholangiography was performed by changing the full color images to fluorescent images using a foot switch. Initially, fluorescent cholangiography failed to differentiate the cystic duct from the common hepatic duct, suggesting retraction of the gallbladder to expose the triangle of Calot to be insufficient. The gallbladder was lifted cranially, allowing clear identification of the cystic duct as well as the common hepatic duct on the fluorescent images.

Journal

Citations (3)*help

See more

References(23)*help

See more

Keywords

Details 詳細情報について

Report a problem

Back to top