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Accuracy of Near Infrared-Guided Surgery in Morbidly Obese Subjects Undergoing Laparoscopic Cholecystectomy

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Abstract

Background

Fluorescence cholangiography represents an incisionless technique that can be applied during laparoscopic cholecystectomy to visualize bile ducts. Our objective was to evaluate and detect variances of fluorescence imaging in obese and non-obese patients.

Methods

Prospective patients were selected for laparoscopic cholecystectomies. Subjects were divided into groups based on their body mass index. Fluorescence imaging was applied preceding any dissection of extrahepatic ducts and again after dissection. Positive and negative identifications of biliary ducts were recorded.

Results

Seventy-one patients participated, with 53.5 % classified as obese. The cystic, hepatic, common bile duct, and accessory ducts were identified as follows: 100, 70.4, 87.3, and 7.0 % of patients, respectively. No differences in hepatic duct, common bile duct, and accessory duct visualization were detected in the obese and non-obese groups (p value 0.09, 0.16, and 0.66, respectively).

Conclusions

Fluorescent cholangiography is a useful technique in the obese and non-obese population. Obesity does not affect fluorescence visualization of bile ducts.

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Conflict of Interest

The authors declare that they have no competing interests. This study was funded by an educational grant from Karl Storz Endoscopy, Tuttlingen, Germany.

Compliance with Ethical Standards

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

Informed Consent

Informed consent was obtained from all individual participants included in the study. Regarding informed consent being obtained from all individual participants for whom identifying information is included in this article, this does not apply.

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Authors and Affiliations

  1. The Bariatric & Metabolic Institute, Section of Minimally Invasive Surgery, Department of General & Vascular Surgery, Cleveland Clinic Florida, 2950 Cleveland Clinic Boulevard, Weston, FL, 33331, USA

    Fernando Dip, David Nguyen, Lisandro Montorfano, María Eugenia Szretter Noste, Emanuele Lo Menzo, Conrad Simpfendorfer, Samuel Szomstein & Raul Rosenthal

Authors
  1. Fernando Dip
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  2. David Nguyen
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  3. Lisandro Montorfano
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  4. María Eugenia Szretter Noste
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  5. Emanuele Lo Menzo
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  6. Conrad Simpfendorfer
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  7. Samuel Szomstein
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  8. Raul Rosenthal
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Corresponding author

Correspondence to Raul Rosenthal.

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Cite this article

Dip, F., Nguyen, D., Montorfano, L. et al. Accuracy of Near Infrared-Guided Surgery in Morbidly Obese Subjects Undergoing Laparoscopic Cholecystectomy. OBES SURG 26, 525–530 (2016). https://doi.org/10.1007/s11695-015-1781-9

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  • DOI: https://doi.org/10.1007/s11695-015-1781-9

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