{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T20:39:11Z","timestamp":1792787951949,"version":"4.5.0"},"reference-count":18,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,4,20]],"date-time":"2024-04-20T00:00:00Z","timestamp":1713571200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,4,20]],"date-time":"2024-04-20T00:00:00Z","timestamp":1713571200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Armed police equipment research of China","award":["ZZKY20233109"],"award-info":[{"award-number":["ZZKY20233109"]}]},{"name":"Armed police Force discipline top talent fund","award":["ZG2020901"],"award-info":[{"award-number":["ZG2020901"]}]},{"name":"Armed police Force high-level science and technology personnel fund","award":["ZG202193"],"award-info":[{"award-number":["ZG202193"]}]},{"DOI":"10.13039\/501100003995","name":"Natural Science Foundation of Anhui Province","doi-asserted-by":"crossref","award":["1908085MH261"],"award-info":[{"award-number":["1908085MH261"]}],"id":[{"id":"10.13039\/501100003995","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Surg"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>This study investigated the clinical application of the indocyanine green (ICG) fluorescence navigation technique in bile duct identification during laparoscopic common bile duct exploration (LCBDE) for complex hepatolithiasis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Eighty patients with complex hepatolithiasis were admitted to our department between January 2022 and June 2023 and randomly divided into control and observation groups. The control group underwent conventional LCBDE, while the observation group underwent LCBDE guided by ICG fluorescence.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Intraoperatively, the observation group had shorter operation and search times for the common bile duct (CBD), as well as reduced intraoperative blood loss and fewer complications, such as conversion to laparotomy and various injuries (gastroduodenal, colon, pancreatic, and vascular) than the control group, with statistical significance (\n                      <jats:italic>P\u2009&lt;<\/jats:italic>\n                      \u20090.05). Postoperatively, the observation group had lower rates of postoperative bile leakage, abdominal infection, postoperative hemorrhage, and residual stone than the control group. Additionally, the observation group demonstrated significantly shorter times for resuming flatus, removal of the abdominal drainage tube, and hospitalization than the control group, with statistical significance (\n                      <jats:italic>P\u2009&lt;<\/jats:italic>\n                      \u20090.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>ICG fluorescence navigation technology effectively visualizes the bile duct, improves its identification rate, shortens the operation time, prevents biliary tract injury, and reduces the occurrence of complications.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s12893-024-02411-5","type":"journal-article","created":{"date-parts":[[2024,4,20]],"date-time":"2024-04-20T02:02:08Z","timestamp":1713578528000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Clinical application of indocyanine green fluorescence navigation technique in laparoscopic common bile duct exploration for complex hepatolithiasis"],"prefix":"10.1186","volume":"24","author":[{"given":"Wenfei","family":"Wang","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sanli","family":"Feng","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhuang","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhenyu","family":"Qiao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liusheng","family":"Yang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lin","family":"Han","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fei","family":"Xu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiangyu","family":"Dong","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Minghui","family":"Sheng","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dengqun","family":"Sun","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yanjun","family":"Sun","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,4,20]]},"reference":[{"key":"2411_CR1","doi-asserted-by":"publisher","first-page":"718","DOI":"10.1007\/s00464-021-08340-1","volume":"36","author":"Z Ma","year":"2022","unstructured":"Ma Z, Zhou J, Yao L, et al. Safety and efficacy of laparoscopic common bile duct exploration for the patients with difficult biliary stones: 8 years of experiences at a single institution and literature review. Surg Endosc. 2022;36:718\u201327.","journal-title":"Surg Endosc"},{"key":"2411_CR2","doi-asserted-by":"publisher","first-page":"655","DOI":"10.1002\/bjs.11510","volume":"107","author":"LL Lehrskov","year":"2020","unstructured":"Lehrskov LL, Westen M, Larsen SS, et al. Fluorescence or X-ray cholangiography in elective laparoscopic cholecystectomy: a randomized clinical trial. Br J Surg. 2020;107:655\u201361.","journal-title":"Br J Surg"},{"key":"2411_CR3","doi-asserted-by":"publisher","first-page":"5836","DOI":"10.1007\/s00464-023-10035-8","volume":"37","author":"C Xu","year":"2023","unstructured":"Xu C, Yin M, Wang H, et al. Indocyanine green fluorescent cholangiography improves the clinical effects of difficult laparoscopic cholecystectomy. Surg Endosc. 2023;37:5836\u201346.","journal-title":"Surg Endosc"},{"issue":"9","key":"2411_CR4","doi-asserted-by":"publisher","first-page":"1369","DOI":"10.1002\/bjs.7125","volume":"97","author":"T Ishizawa","year":"2010","unstructured":"Ishizawa T, Bandai Y, Ijichi M, et al. Fluorescent cholangiography illuminating the biliary tree during laparoscopic cholecystectomy. Br J Surg. 2010;97(9):1369\u201377.","journal-title":"Br J Surg"},{"key":"2411_CR5","doi-asserted-by":"crossref","unstructured":"Brunt LM, Deziel DJ, Telem DA et al. Safe cholecystectomy multi-society practice guideline and state-of-the-art consensus conference on prevention of bile duct injury during cholecystectomy. Surg Endosc. 2020; 34:2827\u20132855.","DOI":"10.1007\/s00464-020-07568-7"},{"key":"2411_CR6","doi-asserted-by":"publisher","first-page":"5989","DOI":"10.3748\/wjg.v27.i36.5989","volume":"27","author":"A Pesce","year":"2021","unstructured":"Pesce A, Piccolo G, Lecchi F, et al. Fluorescent cholangiography: an up-to-date overview twelve years after the first clinical application. World J Gastroenterol. 2021;27:5989\u20136003.","journal-title":"World J Gastroenterol"},{"key":"2411_CR7","doi-asserted-by":"publisher","first-page":"1053","DOI":"10.1007\/s00464-021-08371-8","volume":"36","author":"B Xu","year":"2022","unstructured":"Xu B, Luo T, Yang T, et al. Laparoscopic common bile duct exploration with primary closure is beneficial for patients with previous upper abdominal surgery. Surg Endosc. 2022;36:1053\u201363.","journal-title":"Surg Endosc"},{"key":"2411_CR8","doi-asserted-by":"publisher","first-page":"4893","DOI":"10.1007\/s00464-018-6248-3","volume":"32","author":"J Zhu","year":"2018","unstructured":"Zhu J, Sun G, Hong L, et al. Laparoscopic common bile duct exploration in patients with previous upper abdominal surgery. 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This study was approved by the Ethics Committee of Anhui Provincial General Hospital of the Chinese People\u2019s Armed Police Force(WJYY-2022AH-01). Confirm that informed consent has been obtained from all subjects and\/or their legal guardians.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"Authors declare no conflict of interests for this article.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"117"}}