Sora Ely, MD1, Claire Graves, MD2, Olajire Idowu, MD3, Sunghoon Kim, MD3. 1UCSF East Bay, 2UCSF, 3UCSF Benioff Children’s Hospital of Oakland
Over the last several years, fluorescence cholangiogragraphy has been developed as an alternative method of intraoperative cholangiography (IOC), which was traditionally performed with radiocontrast fluid under fluoroscopy. This new method has utilized timed preoperative intravenous injection of indocyanine green, an inert fluorescent dye excreted in bile, combined with intraoperative near-infrared imaging. We demonstrate a novel technique for producing fluorescence IOC by injecting the dye directly into the gallbladder during the course of the operation; direct gallbladder injection offers several advantages over the intravenous route, including avoidance of the need for preoperative dose-timing, capability to elucidate the cystic artery in addition to the bile ducts, and improved visualization of the key structures.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 87941
Program Number: V275
Presentation Session: Friday Video Loop (Non CME)
Presentation Type: VideoLoop