The first experience of laparoscopic choledocholithotomy with fluorescent cholangiography
DOI:
https://doi.org/10.11603/2414-4533.2018.2.9186Keywords:
fluorescent laparoscopy, fluorescence cholangiography, choledocholithiasis, laparoscopic choledocholithotomy.Abstract
The aim of the work: to evaluate the results of the first experience of fluorescent cholangiography in assessing the passage of extrahe-patic biliary ducts while laparoscopic choledocholithotomy.
Materials and Methods. Laparoscopic cholecystectomy, choledochoscopy, choledocholithotomy, choledochostomy was performed by Kerr in a 22 year old patient with cholelithiasis, acute calculous cholecystitis, choledocholithiasis, mechanical jaundice, acute obstruc-tive cholangitis, acute biliary pancreatitis. Five trocars were used: two – 10 mm, three – 5 mm.
Results and Discussion. After intravenous injection of indocyanin green, it did not produce fluorescence into the common biliary duct, which confirmed its complete obstruction with stone. The duration of surgery was 5 hours, the patient was discharged on the day 6 of postsurgery, with well-functioning external biliary Kerr drain, without a jaundice. Cholangiography showed complete good evacuation due to the duodenum and absence of stones. There were no postoperative complications. In other our two cases when we used fluores-cence cholangiography for suspected transient choledocholithiasis, indocyanin green filled both common biliary duct and the initial portions of jejunum.
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