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Intraoperative Identification of Bile Duct Perforation Following ERCP Using Indocyanine Green-Fluorescence Imaging

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Fig. 1
Fig. 2
Fig. 3

Abbreviations

ERCP:

Endoscopic retrograde cholangiopancreatography

ICG:

Indocyanine green

CBD:

Common bile duct

ENBD:

Endoscopic nasobiliary drainage

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Conflict of interest

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Authors and Affiliations

  1. Hepato-Biliary-Pancreatic Surgery Division, Department of Surgery, Graduate School of Medicine, University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan

    Yoshikuni Kawaguchi, Takeaki Ishizawa & Norihiro Kokudo

  2. Department of Surgery, Asahi General Hospital, Chiba, Japan

    Yoshikuni Kawaguchi, Yuzo Harada, Motoki Nagai, Yukihiro Nomura & Nobutaka Tanaka

  3. Department of Gastroenterology, Asahi General Hospital, Chiba, Japan

    Sachio Hata & Kenji Shimura

Authors
  1. Yoshikuni Kawaguchi
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  2. Takeaki Ishizawa
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  3. Yuzo Harada
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  4. Motoki Nagai
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  5. Yukihiro Nomura
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  6. Sachio Hata
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  7. Kenji Shimura
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  8. Norihiro Kokudo
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  9. Nobutaka Tanaka
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Corresponding author

Correspondence to Norihiro Kokudo.

Electronic supplementary material

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Supplementary Video 1. Following laparotomy, the CBD and the duodenum were identified. Fluorescence cholangiography performed by injecting ICG through the ENBD tube delineated the leakage of bile, allowing precise identification of the point of perforation. No bile leak was observed after closure of the perforation. (MPG 24,116 kb)

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Kawaguchi, Y., Ishizawa, T., Harada, Y. et al. Intraoperative Identification of Bile Duct Perforation Following ERCP Using Indocyanine Green-Fluorescence Imaging. Dig Dis Sci 59, 1063–1065 (2014). https://doi.org/10.1007/s10620-013-2982-5

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  • DOI: https://doi.org/10.1007/s10620-013-2982-5

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