Description

Discover an advanced Skin-to-Skin Laparoscopic Cholecystectomy performed by Dr. R. K. Mishra at World Laparoscopy Hospital, showcasing the integration of Indocyanine Green (ICG) Fluorescence Cholangiography for real-time visualization of the biliary anatomy. This educational surgical video demonstrates how near-infrared fluorescence technology enhances identification of the Common Bile Duct (CBD), cystic duct, and surrounding biliary structures, helping surgeons achieve the Critical View of Safety (CVS) while minimizing the risk of bile duct injury. The procedure begins with patient positioning, trocar placement, and meticulous dissection of Calot's triangle. Using ICG fluorescence imaging, the biliary tree is illuminated before ductal division, allowing precise identification of the cystic duct, common hepatic duct, and CBD without the need for conventional intraoperative cholangiography. The video highlights how fluorescence guidance improves anatomical orientation, particularly in patients with inflammation, obesity, or distorted anatomy. Dr. R. K. Mishra explains the surgical principles behind fluorescence-guided laparoscopic cholecystectomy, emphasizing the importance of respecting tissue planes, avoiding excessive traction, and confirming biliary anatomy before clipping and dividing the cystic duct and artery. The operation demonstrates a true skin-to-skin technique, reflecting efficient operative planning, refined laparoscopic skills, and adherence to modern safety standards. This video is an excellent learning resource for general surgeons, laparoscopic surgeons, surgical residents, fellows, and medical students interested in mastering advanced gallbladder surgery and understanding the practical application of ICG fluorescence technology. It also provides valuable insight into preventing one of the most feared complications of laparoscopic cholecystectomy—common bile duct injury. World Laparoscopy Hospital is internationally recognized for excellence in laparoscopic and robotic surgery training. Through high-definition operative videos, live demonstrations, and evidence-based teaching, Dr. R. K. Mishra continues to educate surgeons worldwide on the latest advances in minimally invasive surgery. If you found this surgical demonstration informative, please Like, Share, and Subscribe for more expert laparoscopic and robotic surgery videos, operative tips, anatomy tutorials, and fellowship training content from World Laparoscopy Hospital.