Fernando Dip|Emanuelle LoMenzo|Luis Sarotto|Edward H Phillips|Hernán Todeschini|Mario Nahmod|Lisandro Alle|Sylke Schneider|Ludwig Kaja|Luigi Boni|Pedro Ferraina|Thomas Carus|Norihiro Kokudo|Takeaki Ishizawa|Mathew Walsh|Conrad H. Simpfendorfer|Mayank Roy|Kevin P. White|Raúl J. Rosenthal
Randomized Trial of Near-infrared Incisionless Fluorescent Cholangiography
Hospital de Clínicas "José de San Martín"|University of Buenos Aires|Cleveland Clinic Florida|Hospital de Clínicas "José de San Martín"|University of Buenos Aires|Hospital de Clínicas "José de San Martín"|University of Buenos Aires|Cedars-Sinai Medical Center|Hospital de Clínicas "José de San Martín"|University of Buenos Aires|Hospital de Clínicas "José de San Martín"|University of Buenos Aires|Hospital de Clínicas "José de San Martín"|University of Buenos Aires|Klinikum Südstadt Rostock|Klinikum Südstadt Rostock|University of Milan|Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico|Hospital de Clínicas "José de San Martín"|University of Buenos Aires|Asklepios|University of Tokyo Hospital|University of Tokyo Hospital|Cleveland Clinic|Cleveland Clinic Florida|Cleveland Clinic Florida|Cleveland Clinic Florida
incisionless nearinfrared fluorescent cholangiography nifc emerging promising tool enhance visualization extrahepatic biliary structures laparoscopic cholecystectomieswe conducted singleblind randomized 2arm trial comparing efficacy nifc n 321 versus white light wl alone n 318 laparoscopic cholecystectomy using karl storz image1 imaging system opal1 technology niricg imaging evaluated detection rate 7 biliary structurescystic duct cd right hepatic duct rhd common hepatic duct common bile duct cystic common bile duct junction cystic gallbladder junction cgj accessory ducts surgical dissection secondary calculations included multivariable analysis predictors structure visualization comparing intergroup biliary duct injury ratespredissection detection rates significantly superior nifc group 7 biliary structures ranging 91 versus 29 666 versus 366 rhd cd respectively odds ratios ranging 23 95 ci 1632 cgj 36 1693 rhd dissection similar intergroup differences observed structures except cd cgj differences observed significant odds ratios ranged 24 1735 common hepatic duct 33 13104 accessory ducts increased body mass index associated reduced detection structures groups especially dissection 2 patients wl group sustained biliary duct injuryin randomized controlled trial nifc statistically superior wl alone visualizing extrahepatic biliary structures laparoscopic cholecystectomynct02702843