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Fluorescence cholangiography for the evaluation of extrahepatic bile ducts patency. The first experience

Authors: Malynovskyi, A. V.; Mayorenko, M. M.; Chernov, M. M.;

Fluorescence cholangiography for the evaluation of extrahepatic bile ducts patency. The first experience

Abstract

The aim — to study the possibility of fluorescent cholangiography application to assess extrahepatic bile ducts patency.Materials and methods. The results of the fluorescent cholangiography for evaluation of extrahepatic bile ducts patency were analyzed. A video system for fluorescent cholangiography by Karl Storz (Germany) and indocyanine green were used.Results and discussion. The fluorescence cholangiography in laparoscopic cholecystectomy for the technically complicated acute destructive cholecystitis made it possible to detect cystic duct, common hepatic and common bile duct in laparoscopic cholecystectomy for transient choledocholithiasis suspicion to visualize a free passage of bile into the duodenum and did not allow to visualize the passage of bile in extrahepatic bile ducts during open operation for tumor obstruction.Conclusions. The first experience of fluorescence cholangiography in laparoscopic cholecystectomy showed the technical simplicity of the technique, the possibility of a clear visualization of extrahepatic bile ducts. Assume that fluorescence cholangiography can be used to evaluate the bile ducts patency instead of intraoperative cholangiography or other intraoperative audit methods in certain cases. Evaluation of extrahepatic bile ducts patency in a complete tumor block using fluorescence cholangiography is ineffective. 

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Keywords

fluorescent cholangiography; obstruction of extrahepatic biliary ducts, флуоресцентна холангіографія; непрохідність позапечінкових жовчних проток, флуоресцентная холангиография; непроходимость внепеченочных желчных протоков

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
1
Average
Average
Average
gold
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