Copyright: ©Author(s) 2026. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See permissions. Published by Baishideng Publishing Group Inc.
World J Clin Cases. Aug 16, 2026; 14(23): 121732
Published online Aug 16, 2026. doi: 10.12998/wjcc.121732
Published online Aug 16, 2026. doi: 10.12998/wjcc.121732
Indocyanine green-guided laparoscopic completion cholecystectomy for stump syndrome: A case report
Isotta Benea, Department of Medical Sciences, University of Ferrara, Ferrara 44100, Emilia-Romagna, Italy
Nicolò Fabbri, Antonio Pesce, Unit of General Surgery, AUSL Ferrara, Lagosanto 44023, Ferrara, Italy
Carlo V Feo, Unit of General Surgery, Local Health Agency of Ferrara, Ferrara 44100, Emilia-Romagna, Italy
Co-first authors: Isotta Benea and Nicolò Fabbri.
Author contributions: Benea I and Fabbri N designed the research study; Benea I, Fabbri N, and Pesce A performed the research; Benea I and Fabbri N analyzed the data and drafted the manuscript; all authors have read and approved the final manuscript.
AI contribution statement: Portions of this manuscript were edited using artificial intelligence (AI) tools for language refinement. The authors take full responsibility for the scientific content of the manuscript, and agree to be accountable for all aspects of the work.
Informed consent statement: Written informed consent was obtained from the patient for the publication of this case report and any accompanying images.
Conflict-of-interest statement: All authors declare that they have no conflict of interest to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Corresponding author: Nicolò Fabbri, MD, Unit of General Surgery, AUSL Ferrara, Via Valle Oppio 2 Ferrara, Lagosanto 44023, Ferrara, Italy. n.fabbri@ausl.fe.it
Received: March 31, 2026
Revised: May 30, 2026
Accepted: June 29, 2026
Published online: August 16, 2026
Processing time: 134 Days and 8.8 Hours
Revised: May 30, 2026
Accepted: June 29, 2026
Published online: August 16, 2026
Processing time: 134 Days and 8.8 Hours
Core Tip
Core Tip: Subtotal cholecystectomy is a valuable bailout strategy in difficult gallbladder surgery but carries a risk of residual stump-related complications. This case highlights that laparoscopic completion cholecystectomy is feasible and safe, even in reoperative settings. Indocyanine green fluorescence imaging enhances visualization of the biliary anatomy, facilitating safer dissection and achievement of the critical view of safety. Its use may reduce operative risk and should be considered in selected complex cases.