@article{oai:nagoya.repo.nii.ac.jp:00023853, author = {Nojiri, Motoi and Igami, Tsuyoshi and Tanaka, Hiroshi and Toyoda, Yoshitaka and Ebata, Tomoki and Yokoyama, Yukihiro and Sugawara, Gen and Mizuno, Takashi and Yamaguchi, Junpei and Nagino, Masato}, issue = {6}, journal = {Surgical Laparoscopy, Endoscopy & Percutaneous Techniques}, month = {Dec}, note = {BACKGROUND: To avoid bile leakage from the stump of a cystic duct that is closed at edematous and/or involved areas, the decision regarding the location of the resection line during a laparoscopic cholecystectomy for benign lesions extending into the cystic duct is important and requires technical ingenuity. For these situations, we used fluorescent cholangiography. METHODS: Our procedure for single-incision laparoscopic cholecystectomy utilized the SILS-Port, and an additional pair of 5-mm forceps was inserted via an umbilical incision. As a fluorescence source, 1 mL of indocyanine green was intravenously injected after endotracheal intubation of patients in the operating room. A laparoscopic fluorescence imaging system developed by Karl Storz Endoskope was utilized for fluorescent cholangiography. RESULTS: Fluorescent cholangiography could be used to identify the border of the lesion in the cystic duct. According to the fluorescent cholangiography results, a location for the resection line of the cystic duct could be identified; therefore, the planned resection was successful and produced a histologically negative margin. CONCLUSIONS: Application of fluorescent cholangiography in the determination of the location of the resection line location during a laparoscopic cholecystectomy for benign lesions of the cystic duct should be widely accepted.}, pages = {e171--e173}, title = {Application of Fluorescent Cholangiography for Determination of the Resection Line During a Single-Incision Laparoscopic Cholecystectomy for a Benign Lesion of the Cystic Duct: Preliminary Experience}, volume = {26}, year = {2016} }