2018 Volume 43 Issue 6 Pages 1111-1115
We report a case of biliary tract visualization using near-infrared imaging with indocyanine green (ICG) injected into a percutaneous transhepatic gallbladder drainage (PTGBD) catheter during laparoscopic cholecystectomy (LapC). An 86-year-old male was diagnosed with Tokyo Guideline 2013 Grade 2 acute cholecystitis. We inserted a PTGBD catheter in the patient during the first hospital day because a lack of personnel made emergency surgery impossible. After hospital day 14, we performed a LapC. We injected ICG directly into the PTGBD catheter before the dissection. The cystic duct and common bile duct were clearly visualized using near-infrared imaging, and we were able to avoid biliary tract injury. Near-infrared imaging with ICG injected into the PTGBD catheter improved the safety of LapC, and these image examinations can be performed more efficiently even in hospitals with few personnel, owing to the simplicity of the procedure.
