Observational studyIndian journal of gastroenterology : official journal of the Indian Society of Gastroenterology2026
Identification of vasculo-biliary anatomy using indocyanine green during laparoscopic cholecystectomy: A prospective observational study-the IVA green study.
Observational study in Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
1 citing paper in PubMed.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND AND
objectivesThis study evaluated the feasibility and effectiveness of near-infrared fluorescence using indocyanine green (ICG) for intra-operative identification of cystic duct and artery anatomy, including aberrations, during laparoscopic cholecystectomy.
methodsA prospective observational non-blinding study was conducted from November 2019 to February 2023, enrolling 67 adult patients scheduled for laparoscopic cholecystectomy. Indocyanine green (0.2 mg/kg) was administered six to 10 hours before surgery. Visualization of the cystic duct, common bile duct (CBD) and cystic artery was assessed using near-infrared fluorescence imaging. Univariate and multivariate analysis was done to identify the correlation between demographic and clinical factors with the identification of the cystic duct, CBD and cystic artery. Univariate and multivariate analysis was done to identify the correlation between gender and body mass index (BMI) with the identification of the cystic duct, CBD and cystic artery.
resultsThe vasculo-biliary structures were visualized with ICG administration. The cystic duct was identified in 88%, the CBD in 92.6% and the cystic artery in 85% (Group-II variant was the commonest). Visualization of the cystic duct was significantly more difficult in male patients, while the visualization of the cystic artery was significantly reduced in patients with a > 25 kg/m
conclusionsIndocyanine green-based near-infrared fluorescence is a safe, feasible and effective tool for enhancing the visualization of vasculo-biliary anatomy during laparoscopic cholecystectomy. It aids in preventing bile duct injury and supports safe dissection, particularly in patients with normal BMI. While not a replacement for intra-operative cholangiography, ICG fluorescence is a promising adjunct.
Indexed as
Identifiers
41160323What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.