Joel S Frieder, MD, Abraham Betancourt, MD, Fernando Dip, MD, Maria Fonseca Mora, MD, Cristian Milla Matute, MD, Emanuele Lo Menzo, MD, PhD, FACS, FASMBS, Samuel Szomstein, MD, FACS, FASMBS, Raul Rosenthal, MD, FACS, FASMBS. Cleveland Clinic Florida
Indocyanine Green (ICG) has proven to aid in the intraoperative identification of biliary structures. The main advantages of this fluorescent technique are avoidance of bile duct incision, avoidance of bile duct injuries and its low costs. This is the case of an 18-year-old female with a BMI of 42, who was scheduled for a Laparoscopic Sleeve Gastrectomy with concomitant Laparoscopic Cholecystectomy. Preoperative abdominal ultrasound reported a contracted gallbladder with multiple calculi and sludge obscuring the lumen, no suggestive signs of cholecystitis. After a successful gastrectomy, we proceeded to perform the cholecystectomy. With the aid of ICG cholangiography the gallbladder was identified, and noted to be of small diameter. The cystic duct, common hepatic duct, and common bile duct were all clearly identified with this technology. The procedure was successfully concluded. Pathologic analysis revealed a gallbladder of 1.8×0.7×0.7 cm, chronic cholecystitis and no calculi.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 95478
Program Number: V322
Presentation Session: Video Loop Day 3
Presentation Type: VideoLoop