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Related Experiment Video

Updated: Jun 7, 2026

Laparoscopic Cholecystectomy with Indocyanine Green Fluorescence: Choledochoscopic Stone Extraction and Primary Duct Suture
04:02

Laparoscopic Cholecystectomy with Indocyanine Green Fluorescence: Choledochoscopic Stone Extraction and Primary Duct Suture

Published on: November 25, 2025

Single-access laparoscopic cholecystectomy with routine intraoperative cholangiogram.

Melissa B Bagloo1, Gregory F Dakin, Lori P Mormino

  • 1Department of Surgery, Section of Laparoscopic and Bariatric Surgery, Weill Cornell Medical College, 525 East 68th Street, Room F763, Box 294, New York, NY 10065, USA.

Surgical Endoscopy
|November 4, 2010
PubMed
Summary

Single-incision laparoscopic cholecystectomy successfully incorporates intraoperative cholangiography in 95% of cases. This technique ensures safe, minimally invasive gallbladder removal while identifying bile duct stones.

Related Concept Videos

Endoscopic Procedures V: ERCP01:26

Endoscopic Procedures V: ERCP

Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...

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Area of Science:

  • Minimally Invasive Surgery
  • Gastrointestinal Surgery
  • Surgical Innovation

Background:

  • Laparoscopic cholecystectomy is standard, with increasing focus on single-incision techniques.
  • Intraoperative cholangiography is crucial but under-described in single-access literature.
  • This study details a method for single-incision laparoscopic cholecystectomy with routine intraoperative cholangiograms.

Purpose of the Study:

  • To describe and evaluate the feasibility of single-incision laparoscopic cholecystectomy with routine intraoperative cholangiography.
  • To compare outcomes between standard and single-incision laparoscopic cholecystectomy.
  • To assess the safety and efficacy of integrating cholangiography into a minimally invasive approach.

Main Methods:

  • Retrospective review of 123 laparoscopic cholecystectomies (83 standard, 40 single-incision).

Related Experiment Videos

Last Updated: Jun 7, 2026

Laparoscopic Cholecystectomy with Indocyanine Green Fluorescence: Choledochoscopic Stone Extraction and Primary Duct Suture
04:02

Laparoscopic Cholecystectomy with Indocyanine Green Fluorescence: Choledochoscopic Stone Extraction and Primary Duct Suture

Published on: November 25, 2025

  • Analysis of patient demographics, operative time, complications, and cholangiography success rates.
  • Comparison of outcomes between standard multiport and single-incision laparoscopic cholecystectomy groups.

    • Main Results:

    • Cholangiography success rate was 100% in standard laparoscopy.
    • In single-incision cases, 95% (38/40) of cholangiograms were completed successfully.
    • Reasons for failure included small cystic duct or inability to advance the catheter; no conversions to standard laparoscopy were needed for cholangiography.

    Conclusions:

    • Routine intraoperative cholangiography is vital for identifying choledocholithiasis and verifying anatomy during cholecystectomy.
    • Single-incision laparoscopic cholecystectomy with cholangiography maintains safety and standard operative principles.
    • This technique offers a safe, minimally invasive option for patients requiring cholangiography, potentially avoiding conversion to multiport surgery.