Indocyanine Green Fluorescence Cuts Bile Duct Injury Risk in Cholecystectomy

Intraoperative indocyanine green (ICG) use significantly reduces common bile duct (CBD) injury rates during laparoscopic cholecystectomy.

  • CBD injury decreased from 0.40% to 0.25% with ICG (RR 0.62; p < .001).
  • Postoperative biliary interventions were lower with ICG (4.49% vs 5.39%; RR 0.83; p < .001).
  • Conversion to open surgery also fell (0.84% vs 0.40%; RR 0.48; p < .001).

Consider integrating ICG into surgical practice to enhance patient safety and outcomes.

  • Nonbiliary complications at 30 days decreased (7.25% vs 8.64%; RR 0.84; p < .001).

Journal Article by Neel NC, Van Doosselaere L (…) Mehtsun WT et 6 al. in JAMA Surg

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