title: Application of Fluorescent Cholangiography for Determination of the Resection Line During a Single-Incision Laparoscopic Cholecystectomy for a Benign Lesion of the Cystic Duct: Preliminary Experience.
abstract: BACKGROUND
  To avoid bile leakage from the stump of a cystic duct that is closed at edematous and/or involved areas, the decision regarding the location of the resection line during a laparoscopic cholecystectomy for benign lesions extending into the cystic duct is important and requires technical ingenuity. For these situations, we used fluorescent cholangiography.
  
  
  METHODS
  Our procedure for single-incision laparoscopic cholecystectomy utilized the SILS-Port, and an additional pair of 5-mm forceps was inserted via an umbilical incision. As a fluorescence source, 1 mL of indocyanine green was intravenously injected after endotracheal intubation of patients in the operating room. A laparoscopic fluorescence imaging system developed by Karl Storz Endoskope was utilized for fluorescent cholangiography.
  
  
  RESULTS
  Fluorescent cholangiography could be used to identify the border of the lesion in the cystic duct. According to the fluorescent cholangiography results, a location for the resection line of the cystic duct could be identified; therefore, the planned resection was successful and produced a histologically negative margin.
  
  
  CONCLUSIONS
  Application of fluorescent cholangiography in the determination of the location of the resection line location during a laparoscopic cholecystectomy for benign lesions of the cystic duct should be widely accepted.
authors.affiliation: Department of Surgery, Division of Surgical Oncology, Nagoya University Graduate School of Medicine, Nagoya, Japan.
authors.forename: Motoi
authors.initials: M
authors.lastname: Nojiri
authors.forename: Tsuyoshi
authors.initials: T
authors.lastname: Igami
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Tanaka
authors.forename: Yoshitaka
authors.initials: Y
authors.lastname: Toyoda
authors.forename: Tomoki
authors.initials: T
authors.lastname: Ebata
authors.forename: Yukihiro
authors.initials: Y
authors.lastname: Yokoyama
authors.forename: Gen
authors.initials: G
authors.lastname: Sugawara
authors.forename: Takashi
authors.initials: T
authors.lastname: Mizuno
authors.forename: Junpei
authors.initials: J
authors.lastname: Yamaguchi
authors.forename: Masato
authors.initials: M
authors.lastname: Nagino
mesh_terms: D059925:Anatomic Landmarks; D001649:Bile Duct Diseases / Q000175:diagnosis* / Q000601:surgery; D002758:Cholangiography / Q000379:methods*; D017081:Cholecystectomy, Laparoscopic / Q000379:methods*; D004396:Coloring Agents / Q000494:pharmacology; D003549:Cystic Duct / Q000000981:diagnostic imaging* / Q000601:surgery; D005260:Female; D006801:Humans; D007208:Indocyanine Green / Q000494:pharmacology*; D008297:Male; D061848:Optical Imaging / Q000379:methods
chemical_list: D004396:Coloring Agents; D007208:Indocyanine Green