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Updated: Jul 9, 2026
Laparoscopic Cholecystectomy with Indocyanine Green Fluorescence: Choledochoscopic Stone Extraction and Primary Duct Suture
Published on: November 25, 2025
Laparoscopic cholecystectomy using a wireless intelligent endoscopic system versus a conventional wired system: a
Zhuang Li1, Jingpeng Zhang2, Wenfei Wang1
1Department of General Surgery, The Chinese People's Armed Police Forces Anhui Provincial Corps Hospital, Hefei, 230041, China.
Objective:
To evaluate the clinical application value of a novel wireless intelligent endoscopic system in laparoscopic cholecystectomy.
Methods:
A total of 86 patients undergoing cholecystectomy between September and October 2023 were enrolled and randomly allocated to the observation group (wireless group, n = 43) and the control group (traditional wired group, n = 43). We comparatively analyzed technical performance, surgical safety (Critical View of Safety (CVS) achievement rate, complications), operator fatigue (Piper Fatigue Scale), perioperative physiological indicators (liver function, stress hormones, C-reactive protein(CRP)), pain scores (Short-Form McGill Pain Questionnaire(SF-MPQ)), and patient-reported outcomes (quality of recovery (QoR-15), quality of life (GIQLI), and ERAS compliance).
Results:
All 86 procedures were successfully completed without conversion to open surgery or severe bile duct injury. The wireless system showed no statistical difference in image transmission latency compared to the wired system (P > 0.05), yet its equipment weight was significantly reduced. Preoperative preparation time was significantly shorter in the wireless group (P < 0.001). For surgical safety, the CVS achievement rate was 100% in both cohorts. Operator fatigue scores were significantly lower in the observation group. Furthermore, postoperative CRP levels and SF-MPQ pain scores were significantly lower in the observation group than in the control group (P < 0.01). Patients in the observation group also demonstrated a significant advantage in postoperative QoR-15 and GIQLI scores (P < 0.05), with ERAS compliance exhibiting a positive correlation with recovery quality.
Conclusion:
The wireless intelligent endoscopic system is safe and feasible for LC, offering a safety profile comparable to traditional wired systems. By improving surgical ergonomics and attenuating postoperative systemic inflammation and pain, the system is positively associated with patients' early quality of recovery, effectively facilitating the implementation of the ERAS paradigm.