Background: Cholelithiasis is a prevalent gallbladder condition necessitating surgical intervention. Laparoscopic cholecystectomy (LC) is the gold standard for treatment, but concerns regarding complications and operative outcomes persist. The use of indocyanine green (ICG) fluorescent cholangiography has been proposed to enhance the safety and efficacy of LC, though its standardized role remains under investigation. This study aims to evaluate the impact of routine IC Objective: G use during LC on operational time, conversion rates to open surgery, and the incidence of common bile duct (CBD) injuries. A ana Methods: lytical prospective study was conducted involving 100 patients undergoing LC at Goa Medical College from January 2021 to September 2022. Patients were randomized into two groups: 50 underwent LC with ICG and 50 without ICG. Key outcomes measured included duration of surgery, intraoperative and postoperative complications, conversion rates to open surgery, length of hospital stay, and CBD injuries. The use of ICG significantly Results: reduced the operative time compared to non-ICG LC (p < 0.001). ICG also lowered the rate of conversion to open cholecystectomy from 12% in the non-ICG group to 4% in the ICG group. No CBD injuries were reported in either group, though ICG facilitated better visualization of the biliary anatomy and potentially reduced the risk of such injuries. The incidence of intraoperative complications was lower with ICG, and postoperative hospital stay was also shorter. ICG fluorescent cholangiography enhances the safety an Conclusion: d efficiency of laparoscopic cholecystectomy by providing real-time visualization of biliary anatomy, which aids in preventing CBD injuries and reducing operative time. This technique should be considered a standard of care in LC to improve patient outcomes and minimize complications
Narsapur et al. (Fri,) studied this question.