pirogovestnikВестник Национального медико-хирургического центра им. Н.И. ПироговаBulletin of Pirogov National Medical & Surgical Center2072-82552782-3628Национальный медико-хирургический Центр им. Н.И. Пирогова10.25881/20728255_2026_21_3_182pirogovestnik-675Research ArticleКЛИНИЧЕСКИЕ НАБЛЮДЕНИЯCASE REPORTSПРИМЕНЕНИЕ ICG НАВИГАЦИИ ДЛЯ УДАЛЕНИЯ ОСТАТОЧНОЙ КУЛЬТИ ПУЗЫРНОГО ПРОТОКА С ОСТАВШИМИСЯ КОНКРЕМЕНТАМИ В ЕЕ ПРОСВЕТЕAPPLICATION OF ICG NAVIGATION FOR THE REMOVAL OF THE RESIDUAL CYSTIC DUCT STUMP WITH REMAINING CALCULI IN ITS LUMENСининкинаД. В.SininkinaD. V.

Москва

Moscow

sininkinadv@pirogov-center.ruМаксименковА. В.MaksimenkovA. V.

Москва

Moscow

СтойкоЮ. М.StoykoY. M.

Москва

Moscow

ВиноградовА. В.VinogradovA. V.

Москва

Moscow

ФГБУ «Национальный медико-хирургический Центр им. Н.И. Пирогова»РоссияPirogov National Medical and Surgical CenterRussian Federation202603092026213182184Copyright © Сининкина Д.В., Максименков А.В., Стойко Ю.М., Виноградов А.В., 20262026Сининкина Д.В., Максименков А.В., Стойко Ю.М., Виноградов А.В.Sininkina D.V., Maksimenkov A.V., Stoyko Y.M., Vinogradov A.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://submit.pirogov-vestnik.ru/jour/article/view/675

Представленны клинические наблюдения лечения двух пациенток с применением ICG навигации для удаления остаточной культи пузырного протока с оставшимися конкрементами после ранее перенесённой лапароскопической холецистэктомии (ЛХЭ). Данные клинические наблюдения представляют собой успешные результаты хирургического лечения остаточной культи пузырного протока с конкрементами с использованием современных методик визуализации желчевыводящих путей, позволяющих избежать анатомических повреждений в зоне операции.

The article discusses clinical observations of the treatment of two patients using ICG navigation to remove the residual stump of the cystic duct with remaining calculi after a previous laparoscopic cholecystectomy (LCE). These clinical observations represent successful outcomes of surgical treatment of the residual stump of the cystic duct with calculi using modern techniques for imaging the biliary tract, which help to avoid anatomical damage in the surgical area.

остаточная культя пузырного протокаконкременты остаточной культи пузырного протокаICG-визуализацияresidual cystic duct stumpcalculi of the residual cystic duct stumpICG visualizationReferencesКлинические рекомендации «Холецистит». 2024.Klinicheskie rekomendacii «Holecistit». 2024. (In Russ.)Parmar AK, Khandelwal RG, Mathew MJ, Reddy PK. Laparoscopic completion cholecystectomy: A retrospective study of 40 cases. Asian J Endosc Surg. 2013; 6: 96-9. doi: 10.1111/ases.12012.Parmar AK, Khandelwal RG, Mathew MJ, Reddy PK. Laparoscopic completion cholecystectomy: A retrospective study of 40 cases. Asian J Endosc Surg. 2013; 6: 96-9. doi: 10.1111/ases.12012.Zhan S, Li D, Tian Y, et al. Time to focus on the potential benefit of minimally invasive treatment of remnant cystic duct stump stones. Endoscopy. 2025; 57(S01): E112-E113. doi: 10.1055/a-2505-9123.Zhan S, Li D, Tian Y, et al. Time to focus on the potential benefit of minimally invasive treatment of remnant cystic duct stump stones. Endoscopy. 2025; 57(S01): E112-E113. doi: 10.1055/a-2505-9123.Benavente-Chenals LR, Dunkin BJ, Chung JM, et al. Laparoscopic Completion Cholecystectomy for Recurrent Symptomatic Choleli – Thiasis: Case Report and Review of the Literature. SAGES Website. 2011.Benavente-Chenals LR, Dunkin BJ, Chung JM, et al. Laparoscopic Completion Cholecystectomy for Recurrent Symptomatic Choleli – Thiasis: Case Report and Review of the Literature. SAGES Website. 2011.Ryou SH, Kim HJ. Successful removal of remnant cystic duct stump stone using single-operator cholangioscopy-guided electrohydraulic lithotripsy: two case reports. Clin Endosc. 2023; 56(3): 375-380. doi: 10.5946/ce.2021.273.Ryou SH, Kim HJ. Successful removal of remnant cystic duct stump stone using single-operator cholangioscopy-guided electrohydraulic lithotripsy: two case reports. Clin Endosc. 2023; 56(3): 375-380. doi: 10.5946/ce.2021.273.Zhang WL, Ji R. Cystic duct stump stone removal by retrieval basket under direct visualization using a novel peroral choledochoscope. Endoscopy. 2023; 55(S01): E100-E101. doi: 10.1055/a-1938-8081.Zhang WL, Ji R. Cystic duct stump stone removal by retrieval basket under direct visualization using a novel peroral choledochoscope. Endoscopy. 2023; 55(S01): E100-E101. doi: 10.1055/a-1938-8081.Ryou SH, Kim HJ. Successful removal of remnant cystic duct stump stone using single-operator cholangioscopy-guided electrohydraulic lithotripsy: two case reports. Clin Endosc. 2023; 56(3): 375-380. doi: 10.5946/ce.2021.273.Ryou SH, Kim HJ. Successful removal of remnant cystic duct stump stone using single-operator cholangioscopy-guided electrohydraulic lithotripsy: two case reports. Clin Endosc. 2023; 56(3): 375-380. doi: 10.5946/ce.2021.273.Zhang WL, Ji R. Cystic duct stump stone removal by retrieval basket under direct visualization using a novel peroral choledochoscope. Endoscopy. 2023; 55(S01): E100-E101. doi: 10.1055/a-1938-8081.Zhang WL, Ji R. Cystic duct stump stone removal by retrieval basket under direct visualization using a novel peroral choledochoscope. Endoscopy. 2023; 55(S01): E100-E101. doi: 10.1055/a-1938-8081.Bhandarkar SD, Kalikar VR, Patankar A, Patankar R. The use of indocyanine green and nearinfrared imaging in laparoscopic completion cholecystectomy for the management of stump cholecystitis: A case series. J Minim Access Surg. 2024; 20(3): 253-257. doi: 10.4103/jmas.jmas_98_23.Bhandarkar SD, Kalikar VR, Patankar A, Patankar R. The use of indocyanine green and nearinfrared imaging in laparoscopic completion cholecystectomy for the management of stump cholecystitis: A case series. J Minim Access Surg. 2024; 20(3): 253-257. doi: 10.4103/jmas.jmas_98_23.

The authors declare that there are no conflicts of interest present.