The firsts chapter of this publication by Ryan C. Broderick, Jeff Reeves and Santiago Horgan highlights the use of Fluorescence Guided Surgery in Biliary Tree procedures.

Abstract: Laparoscopic cholecystectomy (LC) is the most common elective abdominal surgery in the United States, with over 750,000 performed annually. Fluorescent cholangiography (FC) using indocyanine green dye (ICG) permits identification of extrahepatic biliary structures to facilitate dissection without requiring biliary tree cannulation with intraoperative cholangiogram (IOC). Literature review and analysis of our institutional data shows fluorescence cholangiography used in conjunction with the “critical view of safety” is a non-invasive adjunct to laparoscopic cholecystectomy with improved patient outcomes. These findings support ICG as standard of care during laparoscopic cholecystectomy.

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