Direct gallbladder indocyanine green injection technique to achieve critical view of safety in laparoscopic cholecystectomy.

INTRODUCTION

Bile duct injury is one of the most severe complications after cholecystectomy. The aim of this study is to demonstrate how with a simple technique, an optimal critical view may be achieved by injecting indocyanine green directly into the gallbladder.

METHODS

Twenty-three patients were prospectively studied in which direct gallbladder injection of indocyanine green during laparoscopy was administered with a fine needle using an easily reproducible technique.

RESULTS

Biliary tree identification was reported before and after injection. Critical view of safety was achieved in all cases.

CONCLUSIONS

Our technique of direct gallbladder injection of indocyanine green is simple, efficient and shows a real time fluorescent cholangiography and an optimal critical view of safety decreasing the risk for bile duct injury.