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Kashchenko V.A.

North-Western district scientific and clinical center named after L.G. Sokolov Federal Medical and Biological Agency;
Saint-Petersburg State University

Emelyanov S.I.

Evdokimov Moscow State University of Medicine and Dentistry

Strizheletskiĭ V.V.

Saint-Petersburg State University;
St George Martyr Municipal Hospital

Kossovich M.A.

GC «Medsi»

Tariverdiev M.L.

Russian Surgical Society

Rutenburg G.M.

St George Martyr Municipal Hospital

Bogatikov A.A.

North-Western district scientific and clinical center named after L.G. Sokolov Federal Medical and Biological Agency;
Saint-Petersburg State University

Lodygin A.V.

North-Western district scientific and clinical center named after L.G. Sokolov Federal Medical and Biological Agency;
Saint-Petersburg State University

Gornov S.V.

Russian Biotechnological University (BIOTECH University)

Sultanova F.M.

St. George Martyr Municipal Hospital

Integration of ICG-fluorescence cholangiography into the safety system of laparoscopic cholecystectomy

Authors:

Kashchenko V.A., Emelyanov S.I., Strizheletskiĭ V.V., Kossovich M.A., Tariverdiev M.L., Rutenburg G.M., Bogatikov A.A., Lodygin A.V., Gornov S.V., Sultanova F.M.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2023;(11): 89‑98

DOI: 10.17116/hirurgia202311189

Read: 3181 times

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Table of contents

INTEGRATION OF ICG-FLUORESCENCE CHOLANGIOGRAPHY INTO THE SAFETY SYSTEM OF LAPAROSCOPIC CHOLECYSTECTOMY
INTEGRATION OF ICG-FLUORESCENCE CHOLANGIOGRAPHY INTO THE SAFETY SYSTEM OF LAPAROSCOPIC CHOLECYSTECTOMY

To cite this article:

Kashchenko VA, Emelyanov SI, Strizheletskiĭ VV, et al. Integration of ICG-fluorescence cholangiography into the safety system of laparoscopic cholecystectomy. Pirogov Russian Journal of Surgery. 2023;(11):89‑98. (In Russ.)
https://doi.org/10.17116/hirurgia202311189

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

THE AIM OF THE STUDY

Is evaluating the possibility of integrating ICG-fluorescent cholangiography into the general safety system for laparoscopic cholecystectomy to prevent damage to the extrahepatic bile ducts by working out the methodological aspects of navigation technologies.

MATERIALS AND METHODS

The analysis of literature data on various approaches to improve the perioperative identification of anatomical structures during laparoscopic cholecystectomy, including the ICG-fluorescent cholangiography, was carried out. This program was implemented during the provision of elective surgical care to 24 patients with cholelithiasis who underwent laparoscopic cholecystectomy with ICG-fluorescent navigation.

RESULTS AND DISCUSSION

The developed program included: preoperative assessment of the anatomy of the biliary tree using MRCP; intraoperative technique of safe laparoscopic cholecystectomy with mandatory application of the concept of «critical view of safety» (CVS), which allows the most effective identification of the necessary anatomical structures; the use of ICG-fluorescent cholangiography, which allows to improve the control of anatomical structures at all stages of the operations.

CONCLUSIONS

The first experience of using ICG-fluorescent cholangiography testifies to the high informative value of the method, the possibility and prospects of integrating the technology into a comprehensive safety system during laparoscopic cholecystectomy.

Keywords:

cholecystectomy
critical view of safety
intraoperative checkpoints
ICG-fluorescent cholangiography

Authors:

Kashchenko V.A.

North-Western district scientific and clinical center named after L.G. Sokolov Federal Medical and Biological Agency;
Saint-Petersburg State University

Emelyanov S.I.

Evdokimov Moscow State University of Medicine and Dentistry

Strizheletskiĭ V.V.

Saint-Petersburg State University;
St George Martyr Municipal Hospital

Kossovich M.A.

GC «Medsi»

Tariverdiev M.L.

Russian Surgical Society

Rutenburg G.M.

St George Martyr Municipal Hospital

Bogatikov A.A.

North-Western district scientific and clinical center named after L.G. Sokolov Federal Medical and Biological Agency;
Saint-Petersburg State University

Lodygin A.V.

North-Western district scientific and clinical center named after L.G. Sokolov Federal Medical and Biological Agency;
Saint-Petersburg State University

Gornov S.V.

Russian Biotechnological University (BIOTECH University)

Sultanova F.M.

St. George Martyr Municipal Hospital

Received:

15.09.2023

Accepted:

10.10.2023

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References:

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