{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T13:04:17Z","timestamp":1789563857732,"version":"build-2803163510"},"reference-count":9,"publisher":"Oxford University Press (OUP)","issue":"9","license":[{"start":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T00:00:00Z","timestamp":1789516800000},"content-version":"vor","delay-in-days":16,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,8,31]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Latrogenic bile duct injury remains one of the most severe complications of laparoscopic cholecystectomy, and its surgical repair is technically demanding, particularly in the presence of inflammation and fibrosis. We report the case of a 49-year-old woman who developed obstructive jaundice following a converted laparoscopic cholecystectomy. Cross-sectional imaging demonstrated intrahepatic bile duct dilatation with loss of ductal continuity at the biliary confluence, consistent with a Strasberg E4 injury. Surgical management consisted of a Hepp\u2013Couinaud hepaticojejunostomy guided by indocyanine green fluorescence imaging. Intraoperative fluorescence enabled precise identification of the right and left hepatic ducts, assessment of surrounding tissue perfusion, and confirmation of biliary tree integrity, facilitating reconstruction in a hostile surgical field. The postoperative course was uneventful, with normalization of liver function tests and no biliary complications during follow-up. Indocyanine green fluorescence provided real-time anatomical and functional guidance, representing a safe and valuable adjunct in the surgical reconstruction of complex bile duct injuries.<\/jats:p>","DOI":"10.1093\/jscr\/rjag778","type":"journal-article","created":{"date-parts":[[2026,9,5]],"date-time":"2026-09-05T13:54:17Z","timestamp":1788616457000},"source":"Crossref","is-referenced-by-count":0,"title":["Use of indocyanine green in complex biliary reconstruction for Strasberg E4 injury"],"prefix":"10.1093","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-4405-6643","authenticated-orcid":false,"given":"El\u00edas Lessin","family":"Garcia Alba","sequence":"first","affiliation":[{"name":"Department of Hepatobiliary, Pancreatic and Liver Transplant Surgery, Hospital de Alta Complejidad \u201cEl Cruce\u201d , Buenos Aires ,","place":["Argentina"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lourdes","family":"Mollard","sequence":"additional","affiliation":[{"name":"Department of Hepatobiliary, Pancreatic and Liver Transplant Surgery, Hospital de Alta Complejidad \u201cEl Cruce\u201d , Buenos Aires ,","place":["Argentina"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jose Gabriel","family":"Cervantes","sequence":"additional","affiliation":[{"name":"Department of Hepatobiliary, Pancreatic and Liver Transplant Surgery, Hospital de Alta Complejidad \u201cEl Cruce\u201d , Buenos Aires ,","place":["Argentina"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Magali Chahdi","family":"Beltrame","sequence":"additional","affiliation":[{"name":"Department of Hepatobiliary, Pancreatic and Liver Transplant Surgery, Hospital de Alta Complejidad \u201cEl Cruce\u201d , Buenos Aires ,","place":["Argentina"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcelo Enrique","family":"Lenz","sequence":"additional","affiliation":[{"name":"Department of Hepatobiliary, Pancreatic and Liver Transplant Surgery, Hospital de Alta Complejidad \u201cEl Cruce\u201d , Buenos Aires ,","place":["Argentina"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emilio Gaston","family":"Qui\u00f1onez","sequence":"additional","affiliation":[{"name":"Department of Hepatobiliary, Pancreatic and Liver Transplant Surgery, Hospital de Alta Complejidad \u201cEl Cruce\u201d , Buenos Aires ,","place":["Argentina"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,9,16]]},"reference":[{"key":"2026091608143510800_ref1","first-page":"101","article-title":"An analysis of the problem of biliary injury during laparoscopic cholecystectomy","volume":"180","author":"Strasberg","year":"1995","journal-title":"J Am Coll Surg"},{"key":"2026091608143510800_ref2","doi-asserted-by":"publisher","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":"Ambe","year":"2019","journal-title":"Patient Saf Surg"},{"key":"2026091608143510800_ref3","first-page":"24","article-title":"Repair of bile duct injury using indocyanine green fluorescence imaging","volume":"9","author":"Tokuda","year":"2023","journal-title":"Surg Case Rep"},{"key":"2026091608143510800_ref4","doi-asserted-by":"publisher","first-page":"103609","DOI":"10.1016\/j.pdpdt.2023.103609","article-title":"Real-time indocyanine green fluorescence technique reduces anastomotic leakage in bilioenteric anastomosis: a case report and literature review","volume":"42","author":"Ma","year":"2023","journal-title":"Photodiagnosis Photodyn Ther"},{"key":"2026091608143510800_ref5","doi-asserted-by":"publisher","first-page":"7935","DOI":"10.1007\/s00464-025-12356-2","article-title":"SAGES 2025 guidelines for fluorescence image-guided surgery (FIGS) using indocyanine green (ICG)","volume":"39","author":"Calabrese","journal-title":"Surg Endosc"},{"key":"2026091608143510800_ref6","first-page":"739","article-title":"Fluorescent cholangiography in biliary surgery: state of the art","volume":"28","author":"Pesce","year":"2021","journal-title":"Surg Innov"},{"key":"2026091608143510800_ref7","first-page":"715","article-title":"Optimal timing of ICG administration for biliary mapping","volume":"28","author":"Akamatsu","year":"2021","journal-title":"J Hepatobiliary Pancreatic Sci"},{"key":"2026091608143510800_ref8","first-page":"3776","article-title":"Near-infrared fluorescence imaging of the biliary tract during laparoscopic surgery: results of a prospective study","volume":"32","author":"Van den 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