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Cirugía y cirujanos
versión On-line ISSN 2444-054Xversión impresa ISSN 0009-7411
Resumen
CANAS-GARCIA, Inés; GOMEZ-SANCHEZ, Javier; SANTOYO-VILLALBA, Julio y MIRON-POZO, Benito. How to avoid iatrogenic injuries of the biliary tract in urgent surgery? The use of indocianine green is an alternative. Cir. cir. [online]. 2023, vol.91, n.5, pp.713-715. Epub 30-Oct-2023. ISSN 2444-054X. https://doi.org/10.24875/ciru.21000707.
Iatrogenic bile duct injury is a rare complication, although feared due to its morbidity and mortality. In urgent surgeries, its incidence can be doubled, so in selected cases we must assess the use of resources such as indocyanine green to minimize the risk of biliary or arterial lesions by allowing the correct identification of the structures. We present the case of a 57-year-old patient with acute cholecystitis who underwent laparoscopic cholecystectomy. Given the difficulty in differentiating structures in Calot's triangle, the decision was made to use indocyanine green, which identifies a very short cystic duct, thus avoiding iatrogenic bile duct injury.
Palabras llave : Indocyanine green; Iatrogenic injury; Bile duct.