Gall Stone Disease
Conditions
Keywords
Fluorescent cholangiography, Laparoscopic cholecystectomy
Brief summary
Intraoperative fluorescent cholangiography (IFC) with concomitant fluorescent angiography is a recently developed method for non-invasive visualisation of the relevant anatomy during laparoscopic cholecystectomy. The objective of this study was to assess the time required by routine-use of IFC and to evaluate success-rate of the procedures. Methods Thirty-five patients scheduled for laparoscopic cholecystectomy and operated by the same surgeon were consecutively enrolled. A standardized protocol with IFC including concomitant angiography was performed during laparoscopic cholecystectomy. Intra-operative time-registration and exposure of predefined anatomical structures were recorded.
Interventions
PROCEDUREIntraoperative fluorescent cholangiography (IFC)
A standardized protocol with IFC including concomitant angiography was performed during laparoscopic cholecystectomy.
Sponsors
Hvidovre University Hospital
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
DIAGNOSTIC
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 75 Years
Healthy volunteers
No
Inclusion criteria
* Age \> 18 years * Scheduled for acute- or elective laparoscopic cholecystectomy * Informed consent
Exclusion criteria
* Known iodine-hypersensitivity * Liver- or renal insufficiency * Known thyrotoxicosis * Pregnancy or lactation
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Time expenditure of IFC with concomitant angiography. | Four months | Intra-operative fluorescent-imaging-mode-time was registered by a study-nurse during the operations (performed between september and december 2013) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Success-rate of the IFC-procedures. | Four months | The operating surgeon completed a structured questionnaire immediately after each operation regarding anatomical identification by IFC (visible cystic duct, -common bile duct, -common hepatic duct, -right and left hepatic ducts, -cystic artery, -aberrant bile ducts, and/or other abnormalities). Successful IFC was defined as exposure of the junction between the cystic duct, common bile duct and common hepatic duct by IFC. Success-full fluorescent angiography was defined as adequate visualisation of the cystic artery within Calot´s triangle by the method. |
Countries
Denmark
Outcome results
None listed