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World J Gastrointest Surg. Apr 27, 2024; 16(4): 1017-1029
Published online Apr 27, 2024. doi: 10.4240/wjgs.v16.i4.1017
Near-infrared cholangiography with intragallbladder indocyanine green injection in minimally invasive cholecystectomy
Savvas Symeonidis, Ioannis Mantzoros, Elissavet Anestiadou, Orestis Ioannidis, Panagiotis Christidis, Stefanos Bitsianis, Vasiliki Bisbinas, Konstantinos Zapsalis, Trigona Karastergiou, Dimitra Athanasiou, Stylianos Apostolidis, Stamatios Angelopoulos
Savvas Symeonidis, Ioannis Mantzoros, Elissavet Anestiadou, Orestis Ioannidis, Panagiotis Christidis, Stefanos Bitsianis, Konstantinos Zapsalis, Trigona Karastergiou, Dimitra Athanasiou, Stamatios Angelopoulos, Fourth Department of Surgery, Medical School, Aristotle University of Thessaloniki, Thessaloniki 57010, Greece
Vasiliki Bisbinas, ENT Department, Royal Cornwall Hospitals NHS Trust, Cornwall TR1 3LJ, United Kingdom
Stylianos Apostolidis, 1st Propedeutic Surgical Department, University Hospital of Thessaloniki, Aristotle University of Thessaloniki, Thessaloniki 54636, Greece
Author contributions: Symeonidis S, Mantzoros I, and Anestiadou E equally contributed to this study; Symeonidis S, Anestiadou E, and Ioannidis O designed the research; Christidis P, Bitsianis S, Zapsalis K, Karastergiou T, Athanasiou D, and Bisbinas V performed the research; Symeonidis S and Anestiadou E wrote the paper; Mantzoros I, Angelopoulos S, and Apostolidis S supervised the paper; and all authors read and approved the final manuscript.
Conflict-of-interest statement: There is no conflict of interest associated with any of the senior author or other coauthors contributed their efforts in this manuscript.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Orestis Ioannidis, MD, MSc, PhD, Assistant Professor, Fourth Department of Surgery, Medical School, Aristotle University of Thessaloniki, Exochi, Thessaloniki 57010, Greece. telonakos@hotmail.com
Received: November 15, 2023
Peer-review started: November 15, 2023
First decision: January 6, 2024
Revised: February 2, 2024
Accepted: March 18, 2024
Article in press: March 18, 2024
Published online: April 27, 2024
Core Tip

Core Tip: Direct intragallbladder indocyanine green (ICG) administration is a scarcely reported technique of near-infrared fluorescence cholangiography during laparoscopic cholecystectomy. A series of advantages, such as high rates of biliary structure visualization, lower hepatic parenchyma background signal and intraoperative dye administration, render this option a feasible and promising alternative to the commonly used intravenous ICG fluorescent cholangiography. However, further studies are needed in order to standardize optimal aspects of this technique in clinical practice.