Background : Laparoscopic cholecystectomy, a widely performed surgical procedure, poses inherent risks, particularly concerning bile duct injuries. Addressing this concern, the use of indocyanine green (ICG) fluoroscopy has emerged as a promising adjunct for enhancing intraoperative biliary visualization. This observational analysis sought to discern the precise impact of ICG fluoroscopy on bile duct identification during laparoscopic cholecystectomy.

Methods : This prospective cohort study encompassed a cohort of 40 patients undergoing laparoscopic cholecystectomy, meticulously conducted at the esteemed Lab Aid cancer Hospital & Superspciality center in Dhaka, Bangladesh, spanning the period from 2022 to 2023. Preoperatively and intraoperatively, ICG was judiciously administered intravenously, and the cutting-edge near-infrared fluorescence imaging technology was harnessed to illuminate the intricate biliary anatomy. The discernment rate of bile duct structures was meticulously documented. Storz Image 1s Rubina 4K ICG laparoscopic model is used in this study.

Results : The judicious integration of ICG fluoroscopy yielded a remarkable enhancement in bile duct identification during laparoscopic cholecystectomy, manifesting an impressive success rate of 95%. By contrast, without ICG guidance, the identification rate languished at a meager 72%. Notably, this disparity bore statistical significance (p < 0.05). Encouragingly, no untoward events attributable to ICG administration were encountered.

Conclusions : In study, the prudent integration of indocyanine green fluoroscopy proved highly effective in enhancing bile duct identification during laparoscopic cholecystectomy and also effective in complicated gallbladder condition. This significant improvement in visualization markedly reduces intraoperative risks, emphasizing the imperative need to incorporate ICG fluoroscopy for enhanced patient safety and reduced bile duct injuries.