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Commentary On: Indocyanine Green does not Decrease the Need for Bail-out Operation in an Acute Care Surgery Population

The authors of this publication are to be commended for conducting this retrospective study analyzing the impact of near infrared fluorescent cholangiography (NIFC) in patients undergoing laparoscopic cholecystectomy (LC) for symptomatic or complicated cholelithiasis in an acute care setting. In this study, a total of 198 patients who underwent LC were evaluated. Acute cholecystitis was present in 48% of the patients, and NIFC was used in 57% of those. The primary endpoint of the analysis was if using NIFC would decrease the need for a bailout operation in this patient population. The bailout operations were more common in those patients with acute cholecystitis (9%) than those without (2%). The number of bailout operations was 6% in the NIFC group versus 4% in the group with white light alone. The authors conclude that NIFC did not have a significant impact by decreasing the number of bailout operations.

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