Advertisement

Intraoperative Identification of Bile Duct Perforation Following ERCP Using Indocyanine Green-Fluorescence Imaging

  • 375 Accesses

  • 5 Citations

This is a preview of subscription content, log in to check access.

Access options

Buy single article

Instant unlimited access to the full article PDF.

US$ 39.95

Price includes VAT for USA

Subscribe to journal

Immediate online access to all issues from 2019. Subscription will auto renew annually.

US$ 199

This is the net price. Taxes to be calculated in checkout.

Fig. 1
Fig. 2
Fig. 3

Abbreviations

ERCP:

Endoscopic retrograde cholangiopancreatography

ICG:

Indocyanine green

CBD:

Common bile duct

ENBD:

Endoscopic nasobiliary drainage

References

  1. 1.

    Cotton PB, Lehman G, Vennes J, et al. Endoscopic sphincterotomy complications and their management: an attempt at consensus. Gastrointest Endosc. 1991;37:383–393.

  2. 2.

    Freeman ML, Nelson DB, Sherman S, et al. Complications of endoscopic biliary sphincterotomy. N Engl J Med. 1996;335:909–918.

  3. 3.

    Enns R, Eloubeidi MA, Mergener K, et al. ERCP-related perforations: risk factors and management. Endoscopy. 2002;34:293–298.

  4. 4.

    Ishizawa T, Tamura S, Masuda K, et al. Intraoperative fluorescent cholangiography using indocyanine green: a biliary road map for safe surgery. J Am Coll Surg. 2009;208:e1–e4.

  5. 5.

    Kawaguchi Y, Ishizawa T, Masuda K, et al. Hepatobiliary surgery guided by a novel fluorescent imaging technique for visualizing hepatic arteries, bile ducts, and liver cancers on color images. J Am Coll Surg. 2011;212:e33–e39.

  6. 6.

    Landsman ML, Kwant G, Mook GA, et al. Light-absorbing properties, stability, and spectral stabilization of indocyanine green. J Appl Physiol. 1976;40:575–583.

  7. 7.

    Verbeek FP, van der Vorst JR, Schaafsma BE, et al. Image-guided hepatopancreatobiliary surgery using near-infrared fluorescent light. J Hepatobiliary Pancreat Sci. 2012;19:626–637.

  8. 8.

    Ishizawa T, Fukushima N, Shibahara J, et al. Real-time identification of liver cancers by using indocyanine green fluorescent imaging. Cancer. 2009;115:2491–2504.

  9. 9.

    Kaibori M, Ishizaki M, Matsui K, et al. Intraoperative indocyanine green fluorescent imaging for prevention of bile leakage after hepatic resection. Surgery. 2011;150:91–98.

Download references

Conflict of interest

None.

Author information

Correspondence to Norihiro Kokudo.

Electronic supplementary material

Below is the link to the electronic supplementary material.

Supplementary Video 1. Following laparotomy, the CBD and the duodenum were identified. Fluorescence cholangiography performed by injecting ICG through the ENBD tube delineated the leakage of bile, allowing precise identification of the point of perforation. No bile leak was observed after closure of the perforation. (MPG 24,116 kb)

Supplementary Video 1. Following laparotomy, the CBD and the duodenum were identified. Fluorescence cholangiography performed by injecting ICG through the ENBD tube delineated the leakage of bile, allowing precise identification of the point of perforation. No bile leak was observed after closure of the perforation. (MPG 24,116 kb)

Rights and permissions

Reprints and Permissions

About this article

Cite this article

Kawaguchi, Y., Ishizawa, T., Harada, Y. et al. Intraoperative Identification of Bile Duct Perforation Following ERCP Using Indocyanine Green-Fluorescence Imaging. Dig Dis Sci 59, 1063–1065 (2014). https://doi.org/10.1007/s10620-013-2982-5

Download citation

Keywords

  • Fluorescence imaging technique
  • Indocyanine green
  • Bile duct perforation
  • Endoscopic retrograde cholangiopancreatography