Appendix, Gallbladder and Surgical Emergencies · 4 October 2025

Intracholecystic ICG offers faster biliary visualization

Intracholecystic indocyanine green (ICG) provides quicker and clearer views of biliary anatomy during laparoscopic cholecystectomy.

Cystic duct visibility improved from 70% pre-dissection (IV-ICG) to 85% (IC-ICG), reaching 95% post-dissection.
Common hepatic duct visibility was 85% (IV-ICG) versus 45% (IC-ICG).

Surgeons can use IC-ICG immediately, bypassing the delay associated with IV-administered ICG.

Minor bile leakage occurred in 2 IC-ICG cases.

Journal Article by Vindal A, Gogoi DJ, Vats M and Lal P in Surg Endosc

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J Am Coll Surg5 Nov 2026

Waiting after pulmonary embolism cuts complications

Patients who needed emergency general surgery within 60 days of a pulmonary embolism had more major complications than those operated on later, in a national database study.

J Am Coll Surg5 Nov 2026

Waiting 60 days after pulmonary embolism before emergency surgery is linked to fewer complications.

Among 3,785 patients who had emergency general surgery after acute pulmonary embolism, those operated on at least 60 days later had markedly fewer major adverse events (adjusted OR 0.45, 95% CI 0.37–0.55).

Appendix, Gallbladder and Surgical Emergencies3 Nov 2026

Emergency surgery: lung complications raise death risk

After major emergency abdominal surgery, patients who develop lung complications face much higher death risk, most sharply in the first days.

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