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Surgical Innovation
August 26, 2020

Fluorescent Cholangiography During Laparoscopic Cholecystectomy: Shedding New Light on Biliary Anatomy

Author Affiliations
  • 1Department of Surgery, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois
  • 2Northwestern University Feinberg School of Medicine, Chicago, Illinois
JAMA Surg. 2020;155(10):978-979. doi:10.1001/jamasurg.2020.3003

Injury to the common bile duct is the most feared complication of laparoscopic cholecystectomy. To mitigate this, technical maneuvers, such as the critical view of safety, have become standard practice.1 Radiographic intraoperative cholangiography (IOC) is additionally used to clarify difficult extrahepatic biliary anatomy in some instances (Figure), but its routine use is contentiously debated. Over the past decade, fluorescent cholangiography (FC) has developed as a novel approach to prevent cholecystectomy bile duct injury.

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