Use of Near Infrared Fluorescent Cholangiography to Reduce B
Most cholecystectomies are now performed laparoscopically, since smaller incisions decrease morbidity and hospital stay and accelerate recovery. Yet the procedure has a significant drawback in that it prevents the surgeon from using tactile discrimination or clearly differentiating between important anatomical structures. As a result, the rate of bile duct injury has increased from approximately 0.2 percent with open cholecystectomy to 0.5 percent, even with the routine use of intraoperative cholangiography.

Bile duct injuries can be devastating, disabling or even fatal for patients. We believe these injuries could be significantly decreased or avoided with the use of near infrared fluorescent cholangiography (NIFC) to improve the visualization of critical anatomical structures....