The journal "Pirogov Russian Journal of Surgery / Khirurgiya. N.I. Pirogov" (2024, No. 11) has published the results of a study conducted at the V.V. Vinogradov University Clinical Hospital (Department of Faculty Surgery, RUDN University). The study evaluated the effectiveness of using indocyanine green (ICG) in laparoscopic surgeries.
Key Findings of the Study:
1. Radical reduction in surgery time
The use of ICG visualization reduced the average operation duration by nearly half:
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Control group (standard technique): 77 ± 12.4 minutes
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Study group (with ICG navigation): 42 ± 7.8 minutes
2. Navigation accuracy and safety
The method allows identification of the cystic duct and artery (Critical View of Safety — CVS) in the near-infrared range even before the mechanical dissection stage. This is critically important for preventing bile duct injuries, which, according to global statistics, still occur during traditional laparoscopy.
3. New opportunities for training
The authors of the article (Prof. A.E. Klimov, M.V. Kosachenko, MD, PhD, and others) emphasize that the use of ICG fluorescence facilitates and accelerates the training process for young specialists and residents in the technique of safe cholecystectomy.
4. Optimal administration protocols
During work with the ELEPS system, optimal dosing regimens were established:
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Dosage: 2.5 mg to 5.0 mg (independent of body weight)
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Timing: Best visualization is achieved when the agent is administered 1–3 hours before surgery (uniform fluorescence of the liver parenchyma and ducts without visual discomfort for the surgeon)
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Rapid assessment: The effect in vessels is observed within 90 seconds after administration
5. Clinical value
The technology allows detection of even micro-damage (e.g., bile leakage from subsegmental ducts), minimizing the risk of postoperative complications. The study demonstrated a trend toward reduced hospital stay (average 3.2 days).
Why is this important for ELEPS equipment users?
This study confirms that the first and only domestically registered 4K ICG system from ELEPS not only meets global standards but is also a proven tool for enhancing surgical safety.
The use of ELEPS equipment combined with the ICG fluorescence technique allows surgeons to operate with greater confidence in anatomically complex areas, reducing intervention time and improving patient outcomes.
The full text of the article can be found in the "Pirogov Journal", 2024, No. 11, pp. 72–76.
For inquiries regarding the implementation of the ICG 4K system in your medical facility or for technical specifications consultation, please contact: sales@eleps.ru