3-mm Micro-Laparoscopic Cholecystectomy:CVS Technique with ICG Fluorescence Guidance
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Mini-3MM laparoscopic cholecystectomy represents one of the most refined advancements in minimally invasive gallbladder surgery. At World Laparoscopy Hospital, this technique is performed with a strong emphasis on enhanced visualization, patient safety, and superior cosmetic outcomes. By using 3 mm micro-instruments instead of conventional 5–10 mm trocars, surgeons achieve minimal tissue trauma, reduced postoperative pain, and virtually scar-less surgery—making it an excellent option for modern-day patients seeking high-precision care. A key highlight of this approach is the Extended Critical View of Safety (CVS), which ensures precise identification of biliary anatomy before any clipping or division. At WLH, surgeons meticulously expose Calot’s triangle, clear the lower one-third of the gallbladder, and visualize both the cystic duct and cystic artery entering the gallbladder separately. This extended CVS greatly minimizes the risk of bile duct injury, one of the most significant complications in gallbladder surgery. To further enhance safety, the procedure incorporates Indocyanine Green (ICG) fluorescence imaging. Using near-infrared technology, biliary structures such as the cystic duct, hepatic ducts, and common bile duct illuminate clearly, even in challenging anatomical or inflamed cases. This real-time mapping allows surgeons to operate with greater confidence, precision, and situational awareness. World Laparoscopy Hospital has been a global leader in adopting micro-laparoscopic innovations, and the combination of Mini-3MM instruments, Extended CVS, and ICG fluorescence stands as a testament to its commitment to safe and advanced surgical practice. Patients benefit from quicker recovery, minimal postoperative discomfort, and excellent cosmetic results, while surgeons gain a highly reliable technique for achieving optimal surgical outcomes.
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