D-Light P system (karl storz)

Abstract

Bile duct injury in patients undergoing laparoscopic cholecystectomy is a rare but serious complication. Concomitant vascular injury worsens the outcome of bile duct injury repair. Near-infrared fluorescence imaging using indocyanine green (ICG) is a promising, innovative, and noninvasive method for the intraoperative identification of biliary and vascular anatomy during cholecystectomy. The results from our clinical feasibility study illustrate that biliary and vascular fluorescence imaging in laparoscopic cholecystectomy, using the D-Light P System (Tricam SLII; Karl Storz Endoscopes) and preoperative administration of ICG, is easily applicable in clinical practice, can be helpful for earlier visualization of the biliary tree and is useful for the confirmation of the arterial anatomy.