On last month's editorial page, our Editor, Julie Freischlag, MD, introduced the Archives’ new feature: online videos and solicited submissions. This month we are proud to feature the first, a beautiful video from Ishizawa et al in which indocyanine green was used to give real-time fluorescent visualization of the biliary tract during routine laparoscopic cholecystectomy. It is pretty remarkable. In the video one can easily differentiate the cystic duct from the cystic artery and visualize the common duct. It looks eerily like the image on the November 2008 cover of the Archives of Surgery of a hepatobiliary scan. About 50 seconds into the video, what I thought was a retained stone clearly turns out to be fat; the grasper moves the tissue away, revealing the pristine duct behind it. The video file is only 8.94 MB and lasts for about 1 minute.
Zenilman ME. Welcome to Our First Video and to Archives on the Web. Arch Surg. 2009;144(4):303-304. doi:10.1001/archsurg.2009.32