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Fluorescence cholangiography for detection of a cystic duct drained into an accessory hepatic duct: A case report
INTRODUCTION: Laparoscopic cholecystectomy is a safe and standard procedure, but serious bile duct injury may occur due to anatomical anomalies of the biliary tract, especially the accessory hepatic duct. The use of intraoperative fluorescence cholangiography with indocyanine green during laparoscop...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9730159/ https://www.ncbi.nlm.nih.gov/pubmed/36495753 http://dx.doi.org/10.1016/j.ijscr.2022.107808 |
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author | Kinoshita, Mitsuru Watanabe, Sota Mizojiri, Gaku Maruyama, Kentaro Lee, Kyowon Oka, Hiroshi |
author_facet | Kinoshita, Mitsuru Watanabe, Sota Mizojiri, Gaku Maruyama, Kentaro Lee, Kyowon Oka, Hiroshi |
author_sort | Kinoshita, Mitsuru |
collection | PubMed |
description | INTRODUCTION: Laparoscopic cholecystectomy is a safe and standard procedure, but serious bile duct injury may occur due to anatomical anomalies of the biliary tract, especially the accessory hepatic duct. The use of intraoperative fluorescence cholangiography with indocyanine green during laparoscopic cholecystectomy can reportedly prevent bile duct injury. PRESENTATION OF CASE: A 55-year-old woman with upper abdominal pain was referred to our hospital. Laboratory investigations revealed elevated leukocytes and biliary enzymes, while computed tomography demonstrated increased fatty tissue density around the gallbladder. Magnetic resonance cholangiopancreatography and drip infusion cholangiographic-computed tomography showed that the cystic duct drained into an accessory hepatic duct. Due to the diagnosis of cholelithiasis with a biliary anomaly, we performed laparoscopic cholecystectomy using fluorescence cholangiography with indocyanine green. We were able to recognize the accessory hepatic duct and cystic duct, then safely dissect the cystic duct without bile duct injury. DISCUSSION: Laparoscopic cholecystectomy is generally regarded as a safe procedure, but complications and even mortalities can arise in patients with anatomical anomalies of the biliary tract. The aid of intraoperative fluorescence cholangiography with indocyanine green allowed to recognize and identify the accessory hepatic duct and cystic duct, allowing us to operate without injury to the bile duct. CONCLUSIONS: Our experience supports the ease of use, safety, and effectivity of fluorescence cholangiography with indocyanine green. This may become the optimal standard technique to prevent bile duct injury. |
format | Online Article Text |
id | pubmed-9730159 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-97301592022-12-09 Fluorescence cholangiography for detection of a cystic duct drained into an accessory hepatic duct: A case report Kinoshita, Mitsuru Watanabe, Sota Mizojiri, Gaku Maruyama, Kentaro Lee, Kyowon Oka, Hiroshi Int J Surg Case Rep Case Report INTRODUCTION: Laparoscopic cholecystectomy is a safe and standard procedure, but serious bile duct injury may occur due to anatomical anomalies of the biliary tract, especially the accessory hepatic duct. The use of intraoperative fluorescence cholangiography with indocyanine green during laparoscopic cholecystectomy can reportedly prevent bile duct injury. PRESENTATION OF CASE: A 55-year-old woman with upper abdominal pain was referred to our hospital. Laboratory investigations revealed elevated leukocytes and biliary enzymes, while computed tomography demonstrated increased fatty tissue density around the gallbladder. Magnetic resonance cholangiopancreatography and drip infusion cholangiographic-computed tomography showed that the cystic duct drained into an accessory hepatic duct. Due to the diagnosis of cholelithiasis with a biliary anomaly, we performed laparoscopic cholecystectomy using fluorescence cholangiography with indocyanine green. We were able to recognize the accessory hepatic duct and cystic duct, then safely dissect the cystic duct without bile duct injury. DISCUSSION: Laparoscopic cholecystectomy is generally regarded as a safe procedure, but complications and even mortalities can arise in patients with anatomical anomalies of the biliary tract. The aid of intraoperative fluorescence cholangiography with indocyanine green allowed to recognize and identify the accessory hepatic duct and cystic duct, allowing us to operate without injury to the bile duct. CONCLUSIONS: Our experience supports the ease of use, safety, and effectivity of fluorescence cholangiography with indocyanine green. This may become the optimal standard technique to prevent bile duct injury. Elsevier 2022-11-28 /pmc/articles/PMC9730159/ /pubmed/36495753 http://dx.doi.org/10.1016/j.ijscr.2022.107808 Text en © 2022 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Case Report Kinoshita, Mitsuru Watanabe, Sota Mizojiri, Gaku Maruyama, Kentaro Lee, Kyowon Oka, Hiroshi Fluorescence cholangiography for detection of a cystic duct drained into an accessory hepatic duct: A case report |
title | Fluorescence cholangiography for detection of a cystic duct drained into an accessory hepatic duct: A case report |
title_full | Fluorescence cholangiography for detection of a cystic duct drained into an accessory hepatic duct: A case report |
title_fullStr | Fluorescence cholangiography for detection of a cystic duct drained into an accessory hepatic duct: A case report |
title_full_unstemmed | Fluorescence cholangiography for detection of a cystic duct drained into an accessory hepatic duct: A case report |
title_short | Fluorescence cholangiography for detection of a cystic duct drained into an accessory hepatic duct: A case report |
title_sort | fluorescence cholangiography for detection of a cystic duct drained into an accessory hepatic duct: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9730159/ https://www.ncbi.nlm.nih.gov/pubmed/36495753 http://dx.doi.org/10.1016/j.ijscr.2022.107808 |
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