Fluorescence Versus Intraoperative Cholangiography in the Visualization of Biliary Tree Anatomy
NCT01881399 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 66
Last updated 2018-03-14
Summary
The burden of iatrogenic bile duct injury (BDI), the most feared complication of laparoscopic cholecystectomy (LC), is extremely high and the repercussions on the patient's outcomes may be severe ranging from intraoperative repair to liver transplant or patient's death. Different techniques have been proposed to prevent BDI.
Our hypothesis is that a fluorescence-based Imaging would allow visualization of the biliary tree anatomy as good as with the Intraoperative Cholangiogram with several main advantages:
1. ease of use
2. lack of invasiveness
3. absence of ionizing radiation to the patient and the operating staff
4. performed prior to any dissection (prior to "critical view of safety")
Capacity of enhanced-reality based on virtual cholangiography (computer treatment of MRI images) to guide biliary tree anatomy visualization will be also evaluated in this study.
The study requires a 2-month patient participation.
Conditions
- Cholelithiasis
- Gallbladder Polyps
Interventions
- DEVICE
-
Fluorescence cholangiography (da Vinci surgical system)
Patients will received IV injection of ICG intra-operatively, allowing surgeons to view bile ducts under fluorescence imaging using the da Vinci surgical system with fluorescence Imaging system.
- OTHER
-
Virtual cholangiography
Images from virtual cholangiography will be superimposed in real time on images obtained with fluorescence.
- PROCEDURE
-
Conventional IOC
Patients will undergo conventional intraoperative cholangiography (with use of radio-opaque dye), allowing surgeons to view bile ducts under Rx imaging.
Sponsors & Collaborators
-
IHU Strasbourg
lead OTHER
Principal Investigators
-
Patrick Pessaux, Pr · Service de Chirurgie Digestive et Endocrinienne - Nouvel Hôpital Civil - Strasbourg
Study Design
- Allocation
- NA
- Purpose
- DIAGNOSTIC
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2013-11-30
- Primary Completion
- 2016-06-30
- Completion
- 2016-06-30
Countries
- France
Study Locations
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