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

  • Nicolas C. BuchsEmail author

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.

Keywords

Indocyanine green Fluorescent Robotic Single site Cholangiography 

Supplementary material

Video 10.1

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

Video 10.2

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 (12.8 mb)
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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Copyright information

© Springer International Publishing Switzerland 2015

Authors and Affiliations

  1. 1.Department of Surgery, Clinic for Visceral and Transplantation Surgery, University Hospital of Geneva, Faculty of MedicineUniversity of GenevaGenevaSwitzerland

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