Indocyanine Green Use in Laparoscopic Cholecystectomy

  • Shiksha Joshi
  • Emanuele Lo Menzo
  • Fernando Dip
  • Samuel Szomstein
  • Raul J. RosenthalEmail author


Laparoscopic cholecystectomy is the surgical treatment of choice for benign diseases of the gallbladder because of the advantage of shorter postoperative hospital stays with faster recovery and cosmetic superiority. However, complications like iatrogenic vascular and bile duct injury are associated with a severe outcome. Most of the intraoperative injuries during use of the laparoscopic technique are due to a misinterpretation of the anatomy. In addition, anatomic variabilities and aberrant anatomy can play a role in intraoperative injuries. Appropriate visualization of the biliary tree can result in reduction of postoperative complications. Incisionless fluorescent cholangiography (FC) with indocyanine green (ICG) has been shown to be a simple and cost-effective technique to recognize the biliary structures. In this chapter, we describe the technical aspects of incisionless fluorescent cholangiography (FC).


Fluorescent cholangiography Indocyanine green Laparoscopic cholecystectomy Critical view of safety Common bile duct Biliary duct injury 

Supplementary material

Video 18.1

Steps of laparoscopic cholecystectomy with use of indocyanine green (MP4 618147 kb)


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Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Shiksha Joshi
    • 1
  • Emanuele Lo Menzo
    • 1
  • Fernando Dip
    • 2
  • Samuel Szomstein
    • 1
  • Raul J. Rosenthal
    • 1
    Email author
  1. 1.Department of General SurgeryThe Bariatric and Metabolic Institute, Cleveland Clinic FloridaWestonUSA
  2. 2.Hospital de Clinicas Jose de San MartinBuenos AiresArgentina

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