This video demonstrate Indocyanine green (ICG) Cholecystectomy by Dr R K Mishra at World Laparoscopy Hospital. Fluorescent cholangiography using intravenous injection of ICG may become the optimal tools to confirm the biliary tract anatomy during LC because it has potential advantages over radiographic cholangiography in that it does not require irradiation or dissection of triangle of Calot. NIR fluorescence-assisted LC has the potential to become a standard surgical procedure.

Indocyanine Green (ICG) cholecystectomy represents one of the most important advancements in modern minimally invasive hepatobiliary surgery. The integration of fluorescence imaging into laparoscopic cholecystectomy has significantly improved surgical safety, anatomical visualization, and operative efficiency. At advanced training centers such as World Laparoscopy Hospital, the adoption of ICG-guided techniques reflects the global movement toward technology-assisted precision surgery.

Indocyanine Green is a fluorescent dye that, when injected intravenously, is excreted into bile and becomes visible under near-infrared imaging. During laparoscopic cholecystectomy, this allows surgeons to visualize the biliary anatomy in real time. Studies show that ICG fluorescence improves identification of structures such as the cystic duct, common bile duct, and hepatic duct, often achieving visualization rates above 90%. This real-time mapping of biliary anatomy helps surgeons avoid misidentification errors, which are a leading cause of bile duct injury during gallbladder surgery.

The main clinical advantage of ICG cholecystectomy is enhanced safety. Bile duct injury is one of the most serious complications of laparoscopic cholecystectomy, and even experienced surgeons can face this risk. Fluorescence cholangiography allows early identification of biliary structures and helps achieve the critical view of safety more reliably. Evidence suggests that combining ICG imaging with standard safety techniques can significantly improve outcomes, especially in difficult cases with inflammation or previous interventions.

Another major benefit of ICG-guided surgery is improved operative efficiency. Research has shown that ICG fluorescence can reduce operative time and increase surgical precision by providing better anatomical orientation. In randomized and observational studies, procedures using ICG demonstrated shorter operative duration, reduced blood loss, and shorter hospital stay without increasing complications. These advantages are particularly evident in complex gallbladder cases such as acute cholecystitis, obesity, or severe adhesions.

ICG cholecystectomy is also associated with excellent safety and minimal side effects. Low-dose ICG administration has shown no significant adverse reactions in most clinical studies. Additionally, unlike traditional intraoperative cholangiography, ICG imaging does not require radiation exposure, making it safer for both patients and surgical teams.

At World Laparoscopy Hospital, the use of advanced imaging technologies such as ICG fluorescence aligns with the institution’s focus on modern minimally invasive surgical training and research. The hospital is recognized internationally for laparoscopic and robotic surgery education and offers hands-on training programs designed to teach surgeons the latest evidence-based techniques. The emphasis on real-time surgical visualization technologies ensures that trainees learn methods that enhance patient safety and surgical outcomes.

In conclusion, Indocyanine Green cholecystectomy represents a significant evolution in gallbladder surgery. By providing real-time biliary visualization, reducing operative risks, and improving efficiency, ICG fluorescence imaging is becoming an essential component of advanced laparoscopic surgery. Institutions like World Laparoscopy Hospital play a key role in disseminating this technology across the global surgical community, helping surgeons deliver safer and more precise patient care.