Promising Initial Experience With Intra-operative Fluorescent Cholangiography
Study Details
Study Description
Brief Summary
Intraoperative fluorescent cholangiography (IFC) with concomitant fluorescent angiography is a recently developed method for non-invasive visualisation of the relevant anatomy during laparoscopic cholecystectomy. The objective of this study was to assess the time required by routine-use of IFC and to evaluate success-rate of the procedures.
Methods Thirty-five patients scheduled for laparoscopic cholecystectomy and operated by the same surgeon were consecutively enrolled. A standardized protocol with IFC including concomitant angiography was performed during laparoscopic cholecystectomy. Intra-operative time-registration and exposure of predefined anatomical structures were recorded.
Condition or Disease | Intervention/Treatment | Phase |
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N/A |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Experimental: IFC-group The investigators included patients undergoing laparoscopic cholecystectomy by a single surgeon between September and December 2013 at a single centre university department with unrestricted referral of patients. The included patients represented all patients undergoing laparoscopic cholecystectomy by one surgeon during the study period. All patients underwent intra-operative fluorescent cholangiography (IFC) with concomitant angiography, according to a standardized protocol, during their laparoscopic cholecystectomy. |
Procedure: Intraoperative fluorescent cholangiography (IFC)
A standardized protocol with IFC including concomitant angiography was performed during laparoscopic cholecystectomy.
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Outcome Measures
Primary Outcome Measures
- Time expenditure of IFC with concomitant angiography. [Four months]
Intra-operative fluorescent-imaging-mode-time was registered by a study-nurse during the operations (performed between september and december 2013)
Secondary Outcome Measures
- Success-rate of the IFC-procedures. [Four months]
The operating surgeon completed a structured questionnaire immediately after each operation regarding anatomical identification by IFC (visible cystic duct, -common bile duct, -common hepatic duct, -right and left hepatic ducts, -cystic artery, -aberrant bile ducts, and/or other abnormalities). Successful IFC was defined as exposure of the junction between the cystic duct, common bile duct and common hepatic duct by IFC. Success-full fluorescent angiography was defined as adequate visualisation of the cystic artery within Calot´s triangle by the method.
Eligibility Criteria
Criteria
Inclusion criteria:
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Age > 18 years
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Scheduled for acute- or elective laparoscopic cholecystectomy
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Informed consent
Exclusion criteria:
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Known iodine-hypersensitivity
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Liver- or renal insufficiency
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Known thyrotoxicosis
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Pregnancy or lactation
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Hvidovre University Hospital | Hvidovre | Denmark | DK-2650 |
Sponsors and Collaborators
- Hvidovre University Hospital
Investigators
- Principal Investigator: Søren Larsen, MD, PhD, Gastroenheden, Hvidovre University Hospital
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- IFC_Feasibility_study