Surgical outcomes of indocyanine green fluorescent cholangiography in emergency laparoscopic cholecystectomy performed by junior surgeons for acute cholecystitis - Summary - MDSpire

Surgical outcomes of indocyanine green fluorescent cholangiography in emergency laparoscopic cholecystectomy performed by junior surgeons for acute cholecystitis

  • By

  • Lei Gao

  • Jun He

  • Yifeng Qian

  • Fei Yuan

  • Wei Liu

  • Yanping Lu

  • Gang Qian

  • Yefei Mao

  • July 9, 2026

  • 0 min

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Objective:

To evaluate the surgical outcomes of ICG fluorescent cholangiography during emergency laparoscopic cholecystectomy performed by junior surgeons.

Approach:
  • Data Collection: Demographic and clinical characteristics were collected, including operative time, bile duct injury incidence, conversion to open surgery, postoperative complications, hospital stay duration, and costs.
Key Findings:
  • ICG group had a significantly shorter operative time (65 min vs. 72.5 min, P = 0.007).
  • No significant differences in bile duct injury incidence, conversion to open surgery, postoperative complications, hospital stay duration, or hospitalization costs between groups.
  • ICG use was independently associated with decreased operative time.
Interpretation:

The use of ICG fluorescent cholangiography during emergency laparoscopic cholecystectomy may help junior surgeons reduce operative time without increasing perioperative complications.

Limitations:
  • Retrospective study design may introduce selection bias.
  • Limited to a single institution, which may affect generalizability.
Conclusion:

Utilization of ICG fluorescent cholangiography could assist junior surgeons in shortening operative time during emergency laparoscopic cholecystectomy.

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