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Does near-infrared fluorescent cholangiography with indocyanine green reduce bile duct injuries and conversions to open surgery during laparoscopic or robotic cholecystectomy? — A meta-analysis

Surgery Jan 21, 2021

Dip F, Menzo EL, White KP, et al. - Researchers conducted this systematic literature review with the aim to compare bile duct injury and conversion-to-open–surgery rates in patients undergoing laparoscopic or robotic cholecystectomy with vs without near-infrared fluorescent cholangiography. Performing a thorough search in PubMed, they reviewed 4,990 abstracts, recognizing 5 near-infrared fluorescent cholangiography studies (3 laparoscopic cholecystectomy/2 robotic cholecystectomy; n = 1,603) and 11 not near-infrared fluorescent cholangiography studies (5 laparoscopic cholecystectomy/4 robotic cholecystectomy/2 both; n = 5,070) for analysis. Findings suggest a sizable reduction in bile duct injury and conversion-to-open–surgery rates among patients undergoing laparoscopic cholecystectomy in correlation with using near-infrared fluorescent cholangiography with indocyanine green intraoperatively relative to cholecystectomy under white light alone.

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