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Near-infrared cholecystocholangiography with direct intragallbladder indocyanine green injection: preliminary clinical results

Overview of attention for article published in Surgical Endoscopy, September 2017
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Title
Near-infrared cholecystocholangiography with direct intragallbladder indocyanine green injection: preliminary clinical results
Published in
Surgical Endoscopy, September 2017
DOI 10.1007/s00464-017-5838-9
Pubmed ID
Authors

Yu-Yin Liu, Chien-Hung Liao, Michele Diana, Shang-Yu Wang, Seong-Ho Kong, Chun-Nan Yeh, Bernard Dallemagne, Jacques Marescaux, Ta-Sen Yeh

Abstract

Near-infrared (NIR) fluorescence cholangiography by systemic administration of indocyanine green (ICG) enhances the visualization of the biliary tree anatomy. However, the simultaneous enhancement of liver parenchyma can disturb the visualization of critical details. We herein proposed a new technique of NIR cholecystocholangiography by intragallbladder ICG injection to increase the safety during laparoscopic cholecystectomy. A total of 46 patients scheduled for laparoscopic cholecystectomy for symptomatic lithiasis (n = 21) or cholecystitis (n = 25) were enrolled. A fluorescence cholangiography by direct gallbladder injection of ICG was performed in all cases. Of them, the ICG was injected through a previously placed percutaneous transhepatic gallbladder drainage catheter (n = 18) or by intraoperative, percutaneous needle puncture of the gallbladder (n = 28). Visualization of biliary structures, including the cystic duct (CD), the common bile and hepatic ducts (CBD and CHD), the gallbladder neck, and the Hartmann's pouch (HP), was performed using White Light (served as control modality) and by NIR enhancement. Cholecystocholangiography provided a significantly higher rate of visualization of the CD in case of cholecystitis with mild adhesions, and an improved visualization of the HP, CBD, and CHD in case of severe inflammation, when compared to White Light observation. There were no benefits of NIR in case of non-inflamed lithiasis. Clinical translation of NIR cholecystocholangiography has been successful with a noise-free visualization of biliary anatomy. It can be considered in difficult cases to increase the safety of laparoscopic cholecystectomy.

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Geographical breakdown

Country Count As %
Unknown 49 100%

Demographic breakdown

Readers by professional status Count As %
Other 8 16%
Student > Master 8 16%
Student > Postgraduate 6 12%
Researcher 5 10%
Student > Doctoral Student 4 8%
Other 6 12%
Unknown 12 24%
Readers by discipline Count As %
Medicine and Dentistry 28 57%
Biochemistry, Genetics and Molecular Biology 1 2%
Psychology 1 2%
Agricultural and Biological Sciences 1 2%
Physics and Astronomy 1 2%
Other 1 2%
Unknown 16 33%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 15 September 2017.
All research outputs
#18,572,036
of 23,002,898 outputs
Outputs from Surgical Endoscopy
#4,793
of 6,097 outputs
Outputs of similar age
#242,684
of 316,186 outputs
Outputs of similar age from Surgical Endoscopy
#131
of 154 outputs
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We're also able to compare this research output to 154 others from the same source and published within six weeks on either side of this one. This one is in the 1st percentile – i.e., 1% of its contemporaries scored the same or lower than it.