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Real-Time Near-Infrared Fluorescent Cholangiography During Robotic Single-Site Cholecystectomy

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Abstract

The risk of biliary injury during cholecystectomy has increased with the introduction of laparoscopy, with even greater concerns using the single-site approach. On the other hand, the development of a new robotic single-site platform was seen as a potential technical help. In addition, the introduction of real-time near-infrared fluorescent cholangiography during robotic single-site cholecystectomy can also help in assessing the biliary anatomy and might reduce the risk of biliary injury. Moreover, this technology could shorten the operative time in selected patients and might be useful for the development of augmented reality and image-guided surgery in the future.

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Author information

Authors and Affiliations

  1. Department of Surgery, Clinic for Visceral and Transplantation Surgery, University Hospital of Geneva, Faculty of Medicine, University of Geneva, Rue Gabriel-Perret-Gentil, 4, Geneva, 1211, Switzerland

    Nicolas C. Buchs M.D.

Authors
  1. Nicolas C. Buchs M.D.
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Corresponding author

Correspondence to Nicolas C. Buchs M.D. .

Editor information

Editors and Affiliations

  1. Section of Minimally Invasive Surgery, Department of General and Vascular Surgery, The Bariatric and Metabolic Institute, Cleveland Clinic Florida, FL, USA; Oncological Surgical Division, Division of Surgical Research, Department of Surgery, Hospital de Clinicas Buenos Aires, University of Buenos Aires, Buenos Aires, Argentina

    Fernando D. Dip

  2. Department of Gastroenterological Surgery, Cancer Institute Hospital, Japanese Foundation for Cancer Research; Hepato-Biliary-Pancreatic Surgery, Department of Surgery, Graduate School of Medicine, University of Tokyo, Tokyo, Japan

    Takeaki Ishizawa

  3. Hepato-Biliary-Pancreatic Surgery; Department of Surgery, Graduate School of Medicine, University of Tokyo, Bunkyo-ku, Tokyo, Japan

    Norihiro Kokudo

  4. Department of General Surgery, Section of Minimally Invasive Surgery; Department of General and Vascular Surgery, The Bariatric and Metabolic Institute, Cleveland Clinic Florida, Weston, Florida, USA

    Raul J. Rosenthal

Electronic Supplementary Material

Below is the link to the electronic supplementary material.

Example of standard robotic single-site cholecystectomy (MOV 27,656 kb)

Example of real-time near-infrared fluorescent cholangiography before dissection of Calot’s triangle during robotic single-site cholecystectomy (MOV 6,732 kb)

318927_1_En_10_MOESM3_ESM.mov

Example of real-time near-infrared cholangiography after dissection of Calot’s triangle during robotic single-site cholecystectomy (MOV 13,128 kb)

Video 10.3

Example of real-time near-infrared cholangiography after dissection of Calot’s triangle during robotic single-site cholecystectomy (MOV 13,128 kb)

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Buchs, N.C. (2015). Real-Time Near-Infrared Fluorescent Cholangiography During Robotic Single-Site Cholecystectomy. In: Dip, F., Ishizawa, T., Kokudo, N., Rosenthal, R. (eds) Fluorescence Imaging for Surgeons. Springer, Cham. https://doi.org/10.1007/978-3-319-15678-1_10

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  • DOI: https://doi.org/10.1007/978-3-319-15678-1_10

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-15677-4

  • Online ISBN: 978-3-319-15678-1

  • eBook Packages: MedicineMedicine (R0)

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