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178193

Feasibility of Intracholecystic Injection of Methylene Blue to Visualise the Biliary Tree during Laparoscopic Cholecystectomy

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Last updated: 23 Jan 2023

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Abstract

Laparoscopic cholecystectomy is commonly practiced by surgeons and the most worrisome complication is biliary tree injury. On 60 patients undergoing Laparoscopic cholecystectomy we injected Methylene blue dye into the gall bladder trying to delineate the biliary tree. Cystic duct was painted in 56 patients (93%) while common bile duct and hepatic ducts were painted only in 38 patients (63%). The technique is easy to perform, without any radiation exposure hazards, without using special equipment and is less time consuming than other maneuvers used to delineate the biliary tree during laparoscopic cholecystectomy. It is cheap and can be done even with no prior special experience in the technique. The incidence of bile system injury related to anatomic misidentification can be decreased or even totally avoided. It may be of value in thin wall gall bladder but in thick wall gall bladder it is of questionable value and needs more investigation.

DOI

10.21608/asjs.2017.178193

Keywords

methylene blue, intra, Operative, Laparoscopic cholecystectomy

Authors

First Name

Heba Tharwat

Last Name

Abdelaziz

MiddleName

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Affiliation

Department of General Surgery, Faculty of Medicine for Girls, Al-Azhar University, Egypt

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Orcid

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Volume

10

Article Issue

1

Related Issue

25661

Issue Date

2017-01-01

Receive Date

2021-06-16

Publish Date

2017-01-01

Page Start

68

Page End

72

Print ISSN

2090-7249

Link

https://asjs.journals.ekb.eg/article_178193.html

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https://asjs.journals.ekb.eg/service?article_code=178193

Order

11

Type

Original Article

Type Code

1,943

Publication Type

Journal

Publication Title

Ain Shams Journal of Surgery

Publication Link

https://asjs.journals.ekb.eg/

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Article

Created At

23 Jan 2023