Indocyanine Green Fluorescence Cholangiography for Laparoscopic Cholecystectomy in Patients With Cholecystostomy: A Case Series

 

General Surgery Department - Hospital Militar Central

Universidad Militar Nueva Granada

Bogotá D.C. - Colombia

 

Introduction

• Prevalence of approximately 4% (5.3 women/2.6 men).

• Bile duct injury is rare 0.4-1.4% but very serious.

• Indocyanine green (IG) is a useful tool that reduces the complication rate in difficult gallbladders.

• The use of cholecystostomy in Tokyo III is between 6 and 30%.

• When draining directly into the gallbladder. Why not use it as a vehicle to apply IG?

Results and Methods 

• Series of cases involving 6 patients undergoing cholecystostomy– Tokyo III cholecystitis.

• Laparoscopic cholecystectomy IG – cholangiography through drain 2.5 mg (anaesthetic induction)

• October 2024 – May 2025

Conclusions

• Useful for safe dissection in difficult cholecystectomies.

• Better visualisation and no latency as there is no hepatic metabolism.

• The method is simple, easy to perform and saves surgical time.

• We must standardise the timing and appropriate dose for optimal visualisation.