{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,27]],"date-time":"2025-05-27T04:54:14Z","timestamp":1748321654746,"version":"3.37.3"},"reference-count":39,"publisher":"Georg Thieme Verlag KG","issue":"01","license":[{"start":{"date-parts":[[2021,2,28]],"date-time":"2021-02-28T00:00:00Z","timestamp":1614470400000},"content-version":"vor","delay-in-days":58,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Surg J (N Y)"],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background\u2003Laparoscopic cholecystectomy (LC) is increasingly being used as a first-line treatment for acute cholecystitis. Bile duct injury (BDI) remains the most feared complication of the minimally invasive approach specially in cases with an inflamed calots triangle. While use of indocyanine dye (ICG) to delineate biliary anatomy serves to reduce BDI, the high cost of the technology prohibits its use in the developing world. We propose a novel use of common bile duct (CBD) stenting preoperatively in cases of cholecystitis secondary to choledocholithiasis as a means of identification and safeguarding the CBD.<\/jats:p><jats:p>\n          Methods\u2003A retrospective review was conducted on 22 patients of Grade 2 or Grade 3 cholecystitis who underwent an early LC at our institution. All patients were stented preoperatively and the stent was used for a much-needed tactile feedback during dissection. A c-arm with intraoperative fluoroscopy was used to identify the CBD prior to clipping of the cystic duct.<\/jats:p><jats:p>\n          Results\u2003The gall bladder was gangrenous in all the cases while two cases had evidence of end organ damage. This innovative use of CBD stenting allowed us to correctly delineate biliary anatomy in all of the cases and we report no instances of BDI despite a severely inflamed local environment.<\/jats:p><jats:p>\n          Conclusion\u2003This technique can become a standard of care in all teaching institutions in developing countries further enhancing the safety of cholecystectomy in gangrenous cholecystitis with a distorted biliary anatomy.<\/jats:p>","DOI":"10.1055\/s-0040-1721432","type":"journal-article","created":{"date-parts":[[2021,2,28]],"date-time":"2021-02-28T23:44:17Z","timestamp":1614555857000},"page":"e35-e40","source":"Crossref","is-referenced-by-count":2,"title":["Novel Use of Intraoperative Fluoroscopy in an Era of ICG for Complex Laparoscopic Cholecystectomy"],"prefix":"10.1055","volume":"07","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7888-4828","authenticated-orcid":false,"given":"Jignesh A.","family":"Gandhi","sequence":"additional","affiliation":[{"name":"Department of GI and Laparoscopic Surgery, Global Hospital, Mumbai, Maharashtra, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5972-1561","authenticated-orcid":false,"given":"Pravin H.","family":"Shinde","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Seth G.S. Medical College and KEM Hospital, Mumbai, Maharashtra, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sadashiv N.","family":"Chaudhari","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Seth G.S. Medical College and KEM Hospital, Mumbai, Maharashtra, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7448-500X","authenticated-orcid":false,"given":"Amay M.","family":"Banker","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Seth G.S. Medical College and KEM Hospital, Mumbai, Maharashtra, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2021,2,28]]},"reference":[{"issue":"07","key":"ref1","doi-asserted-by":"crossref","first-page":"2236","DOI":"10.1007\/s00464-010-1539-3","article-title":"Is laparoscopic cholecystectomy more challenging in male patients?","volume":"25","author":"P Ambe","year":"2011","journal-title":"Surg Endosc"},{"issue":"01","key":"ref2","doi-asserted-by":"crossref","first-page":"55","DOI":"10.1002\/jhbp.516","article-title":"Tokyo Guidelines 2018: flowchart for the management of acute cholecystitis","volume":"25","author":"K Okamoto","year":"2018","journal-title":"J Hepatobiliary Pancreat Sci"},{"issue":"01","key":"ref3","doi-asserted-by":"crossref","first-page":"2","DOI":"10.1186\/s13037-019-0182-8","article-title":"The role of indocyanine green fluoroscopy for intraoperative bile duct visualization during laparoscopic cholecystectomy: an observational cohort study in 70 patients","volume":"13","author":"P C Ambe","year":"2019","journal-title":"Patient Saf Surg"},{"issue":"12","key":"ref4","doi-asserted-by":"crossref","first-page":"5319","DOI":"10.1007\/s00464-016-4882-1","article-title":"Surgical management of empyematous cholecystitis: a register study of over 12,000 cases from a regional quality control database in Germany","volume":"30","author":"P C Ambe","year":"2016","journal-title":"Surg Endosc"},{"issue":"04","key":"ref5","doi-asserted-by":"crossref","first-page":"1896","DOI":"10.1007\/s00464-016-5190-5","article-title":"Outcome of acute perforated cholecystitis: a register study of over 5000 cases from a quality control database in Germany","volume":"31","author":"S Jansen","year":"2017","journal-title":"Surg Endosc"},{"issue":"04","key":"ref6","doi-asserted-by":"crossref","first-page":"450","DOI":"10.1016\/j.surg.2007.07.008","article-title":"Long-term outcome of biliary reconstruction for bile duct injuries from laparoscopic cholecystectomies","volume":"142","author":"R M Walsh","year":"2007","journal-title":"Surgery"},{"issue":"01","key":"ref7","doi-asserted-by":"crossref","first-page":"143","DOI":"10.1097\/SLA.0000000000002258","article-title":"Long-term impact of bile duct injury on morbidity, mortality, quality of life, and work related limitations","volume":"268","author":"K AC Booij","year":"2018","journal-title":"Ann Surg"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"10","DOI":"10.1159\/000496432","article-title":"Long-term impact of iatrogenic bile duct injury","volume":"37","author":"A M Schreuder","year":"2020","journal-title":"Dig Surg"},{"issue":"02","key":"ref9","doi-asserted-by":"crossref","first-page":"384","DOI":"10.1007\/s00464-008-9985-x","article-title":"The routine use of laparoscopic ultrasound decreases bile duct injury: a multicenter study","volume":"23","author":"J Machi","year":"2008","journal-title":"Surgical Endoscopy"},{"issue":"03","key":"ref10","doi-asserted-by":"crossref","first-page":"245","DOI":"10.1177\/1553350617690309","article-title":"Fluorescent imaging with indocyanine green during laparoscopic cholecystectomy in patients at increased risk of bile duct injury","volume":"24","author":"M Ankersmit","year":"2017","journal-title":"Surg Innov"},{"issue":"30","key":"ref11","doi-asserted-by":"crossref","first-page":"e11654","DOI":"10.1097\/MD.0000000000011654","article-title":"Evaluation of laparoscopic cholecystectomy using indocyanine green cholangiography including cholecystitis: a retrospective study","volume":"97","author":"K Hiwatashi","year":"2018","journal-title":"Medicine (Baltimore)"},{"issue":"01","key":"ref12","doi-asserted-by":"crossref","first-page":"41","DOI":"10.1002\/jhbp.515","article-title":"Tokyo Guidelines 2018: diagnostic criteria and severity grading of acute cholecystitis (with videos)","volume":"25","author":"M Yokoe","year":"2018","journal-title":"J Hepatobiliary Pancreat Sci"},{"issue":"01","key":"ref13","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1002\/jhbp.518","article-title":"Tokyo Guidelines 2018: antimicrobial therapy for acute cholangitis and cholecystitis","volume":"25","author":"H Gomi","year":"2018","journal-title":"J Hepatobiliary Pancreat Sci"},{"issue":"82","key":"ref14","doi-asserted-by":"crossref","first-page":"1337","DOI":"10.1016\/j.wneu.2014.07.041","article-title":"Radiation safety and spine surgery: Systematic review of exposure limits and methods to minimize radiation exposure","author":"D Srinivasan","year":"2014","journal-title":"World Neurosurg"},{"key":"ref15","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1186\/1471-230X-13-65","article-title":"Endoscopic gallbladder stenting for acute cholecystitis: a retrospective study of 46 elderly patients aged 65 years or older","volume":"13","author":"S Maekawa","year":"2013","journal-title":"BMC Gastroenterol"},{"issue":"10","key":"ref16","doi-asserted-by":"crossref","first-page":"1352","DOI":"10.1007\/s00268-001-0122-4","article-title":"Safety of laparoscopic approach for acute cholecystitis: retrospective study of 609 cases","volume":"25","author":"B Navez","year":"2001","journal-title":"World J Surg"},{"issue":"03","key":"ref17","doi-asserted-by":"crossref","first-page":"355","DOI":"10.1016\/0002-9610(91)90597-7","article-title":"Routine or selected intraoperative cholangiography during laparoscopic cholecystectomy?","volume":"161","author":"G Berci","year":"1991","journal-title":"Am J Surg"},{"issue":"03","key":"ref18","doi-asserted-by":"crossref","first-page":"794","DOI":"10.2214\/AJR.07.3485","article-title":"Laparoscopic cholecystectomy: postoperative imaging","volume":"191","author":"P D Thurley","year":"2012","journal-title":"Am J Roentgenol"},{"issue":"07","key":"ref19","doi-asserted-by":"crossref","first-page":"967","DOI":"10.1007\/s00464-004-8942-6","article-title":"Ten-year trend in the national volume of bile duct injuries requiring operative repair","volume":"19","author":"J P Dolan","year":"2005","journal-title":"Surg Endosc Other Interventional Tech"},{"issue":"03","key":"ref20","doi-asserted-by":"crossref","first-page":"391","DOI":"10.1002\/bjs.7335","article-title":"Bile duct injury and use of cholangiography during laparoscopic cholecystectomy","volume":"98","author":"U Giger","year":"2011","journal-title":"Br J Surg"},{"issue":"03","key":"ref21","doi-asserted-by":"crossref","first-page":"362","DOI":"10.1002\/bjs.7356","article-title":"Randomized clinical trial of routine on-table cholangiography during laparoscopic cholecystectomy","volume":"98","author":"O A Khan","year":"2011","journal-title":"Br J Surg"},{"issue":"10","key":"ref22","doi-asserted-by":"crossref","first-page":"986","DOI":"10.1001\/archsurg.140.10.986","article-title":"Bile duct injury during laparoscopic cholecystectomy: results of an Italian national survey on 56 591 cholecystectomies","volume":"140","author":"G Nuzzo","year":"2005","journal-title":"Arch Surg"},{"issue":"04","key":"ref23","doi-asserted-by":"crossref","first-page":"1077","DOI":"10.1007\/s00464-007-9740-8","article-title":"Iatrogenic biliary injury: 13,305 cholecystectomies experienced by a single surgical team over more than 13 years","volume":"22","author":"O Tantia","year":"2008","journal-title":"Surg Endosc"},{"issue":"05","key":"ref24","doi-asserted-by":"crossref","first-page":"1060","DOI":"10.1007\/s00268-015-3365-1","article-title":"Severity of acute cholecystitis and risk of iatrogenic bile duct injury during cholecystectomy, a population-based case-control study","volume":"40","author":"B T\u00f6rnqvist","year":"2016","journal-title":"World J Surg"},{"issue":"01","key":"ref25","doi-asserted-by":"crossref","first-page":"43","DOI":"10.1007\/s002689900008","article-title":"Laparoscopic cholecystectomy for acute cholecystitis: is it really safe?","volume":"20","author":"C-K Kum","year":"1996","journal-title":"World J Surg"},{"issue":"05","key":"ref26","doi-asserted-by":"crossref","first-page":"786","DOI":"10.1097\/01.sla.0000161029.27410.71","article-title":"Surgical management of bile duct injuries sustained during laparoscopic cholecystectomy: perioperative results in 200 patients","volume":"241","author":"J K Sicklick","year":"2005","journal-title":"Ann Surg"},{"issue":"04","key":"ref27","doi-asserted-by":"crossref","first-page":"352","DOI":"10.1016\/j.hpb.2016.12.004","article-title":"The morbidity and mortality of hepaticojejunostomies for complex bile duct injuries: a multi-institutional analysis of risk factors and outcomes using NSQIP","volume":"19","author":"H N Ismael","year":"2017","journal-title":"HPB (Oxford)"},{"issue":"11","key":"ref28","doi-asserted-by":"crossref","first-page":"1045","DOI":"10.1007\/s004649900237","article-title":"Laparoscopic management of acute cholecystitis","volume":"10","author":"A Bickel","year":"2014","journal-title":"Surg Endosc"},{"issue":"02","key":"ref29","doi-asserted-by":"crossref","first-page":"173","DOI":"10.1001\/archsurg.133.2.173","article-title":"Laparoscopic cholecystectomy vs open cholecystectomy in the treatment of acute cholecystitis: a prospective study","volume":"133","author":"J A Lujan","year":"1998","journal-title":"Arch Surg"},{"issue":"11","key":"ref30","doi-asserted-by":"crossref","first-page":"1301","DOI":"10.1007\/BF00188287","article-title":"Comparison of laparoscopic and minilap cholecystectomy for acute cholecystitis","volume":"8","author":"P C Calhoun","year":"1994","journal-title":"Surg Endosc"},{"key":"ref31","doi-asserted-by":"crossref","first-page":"321","DOI":"10.1016\/S0140-6736(97)08447-X","article-title":"Randomised trial of laparoscopic versus open cholecystectomy for acute and gangrenous cholecystitis","volume":"351","author":"T Kiviluoto","year":"1998","journal-title":"Lancet"},{"issue":"01","key":"ref32","doi-asserted-by":"crossref","first-page":"73","DOI":"10.1002\/jhbp.517","article-title":"Tokyo Guidelines 2018: surgical management of acute cholecystitis: safe steps in laparoscopic cholecystectomy for acute cholecystitis (with videos)","volume":"25","author":"G Wakabayashi","year":"2018","journal-title":"J Hepatobiliary Pancreat Sci"},{"issue":"09","key":"ref33","doi-asserted-by":"crossref","first-page":"2837","DOI":"10.1007\/s00464-014-4002-z","article-title":"Role of routine intraoperative cholangiography during laparoscopic cholecystectomy","volume":"29","author":"A Kumar","year":"2015","journal-title":"Surg Endosc"},{"issue":"01","key":"ref34","doi-asserted-by":"crossref","first-page":"143","DOI":"10.1016\/j.gie.2014.06.045","article-title":"Incidence, severity, and mortality of post-ERCP pancreatitis: a systematic review by using randomized, controlled trials","volume":"81","author":"B Kochar","year":"2015","journal-title":"Gastrointest Endosc"},{"issue":"06","key":"ref35","doi-asserted-by":"crossref","first-page":"491","DOI":"10.1097\/SLE.0000000000000461","article-title":"Predictive factors for long operative duration in patients undergoing laparoscopic cholecystectomy after endoscopic retrograde cholangiography for combined choledochocystolithiasis","volume":"27","author":"R Lee","year":"2017","journal-title":"Surg Laparosc Endosc Percutan Tech"},{"issue":"12","key":"ref36","doi-asserted-by":"crossref","first-page":"4620","DOI":"10.1007\/s00464-013-3082-5","article-title":"Does prophylactic stent insertion to the common bile duct during endoscopic retrograde cholangiopancreatography (ERCP) before cholecystectomy have any impact on the rate of biliary complications?","volume":"27","author":"V Verzhbitsky","year":"2013","journal-title":"Surg Endosc"},{"issue":"04","key":"ref37","doi-asserted-by":"crossref","first-page":"191","DOI":"10.14740\/gr1207","article-title":"Prophylactic biliary stenting before cholecystectomy in patients with gallstones and common bile duct stones","volume":"12","author":"H Kawabata","year":"2019","journal-title":"Gastroenterol Res"},{"issue":"02","key":"ref38","doi-asserted-by":"crossref","first-page":"429","DOI":"10.1007\/s00464-010-1185-9","article-title":"Elective laparoscopic cholecystectomy in the presence of common bile duct stent","volume":"25","author":"M S Nair","year":"2011","journal-title":"Surg Endosc"},{"issue":"04","key":"ref39","doi-asserted-by":"crossref","first-page":"246","DOI":"10.1053\/slas.2000.19555","article-title":"Ductal stones: pathology, clinical manifestations, laparoscopic extraction techniques, and complications","volume":"7","author":"A Cuschieri","year":"2016","journal-title":"Semin Laparosc Surg"}],"container-title":["The Surgery Journal"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0040-1721432.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,2,28]],"date-time":"2021-02-28T23:44:27Z","timestamp":1614555867000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0040-1721432"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,1]]},"references-count":39,"journal-issue":{"issue":"01","published-online":{"date-parts":[[2021,1,7]]},"published-print":{"date-parts":[[2021,1]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0040-1721432","relation":{},"ISSN":["2378-5128","2378-5136"],"issn-type":[{"type":"print","value":"2378-5128"},{"type":"electronic","value":"2378-5136"}],"subject":[],"published":{"date-parts":[[2021,1]]}}}