Saeed Arefanian, MD, Margaret Frisella, RN, L. Michael Brunt, MD. Washington University in St. Louis
Background: subtotal cholecystectomy has been advocated for difficult operative situations for a long time in the surgery and different types of it have been described. Occasionally recurrence of symptomatic cholelithiasis and choledocholithiasis requieres the need for reoperation and completeion of the cholecystectomy.
Presentation: Here we present a patient with recurrent biliary symptoms after a difficult laparoscopic converted to open subtotal cholecystectomy. Laparoscopic cholecystectomy was done with using ICG and infrared imaging for recognizing the anatomy and completeion of the surgery despite extensive adhesions and difficult anatomy.
Conclusion: Using the ICG cholangiography and infrared imaging technology is a helpful modality in recognizing anatomical landmarks and completing cholecystecoly safely.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 95369
Program Number: V001
Presentation Session: Biliary
Presentation Type: Video