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Laparoscopic cholecystectomy has gone through massive changes since the approach was first created in 1985. Just to put it in figures, 750,000 laparoscopic cholecystectomy procedures are performed every year in the USA.
Dr. Dip discusses an important paper stating that more than 253 laparoscopic bile duct injuries were recorded in 2003. 97% of these injuries were due to the surgeon's visual misperception and the other 3% to defective technical skills.
Fluorescence-guided surgery is a very useful emerging technology. The tools required to perform this type of surgery include a light source, a structure, a dye, and a specific camera. The specific dye is Indocyanine Green, which was developed in WWII, which is not metabolized by the human body.
The talk focuses on his paper on visualization in different cases where the technique is applied. He discusses a study aimed at establishing whether NIFC (Near-infrared Incisionless Fluorescent) is superior to standard white light when identifying extrahepatic biliary structures. The main conclusion is that NIFC markedly and significantly increased the detection of all extrahepatic biliary structures before and after gallbladder dissection.
