Publication Name	World Journal of Gastroenterology
Manuscript ID	126532
DOI	10.3748/wjg.126532
Country	China

Category	Gastroenterology & Hepatology
Manuscript Type	Case Report
Article Title	Low-dose indocyanine green fluorescent cholangiography in ring-like communicating accessory bile duct with impacted lithiasis: A case report
Manuscript Source	Unsolicited Manuscript
All Author List	Jia Li, Kai-Feng Li, Fei-Yan Cheng and Zi-Fang Shang
Funding Agency and Grant Number	Funding Agency Grant Number the 2025 Scientific Research Cultivation Project of Meizhou People’s Hospital PY-C2025002
Corresponding Author	Zi-Fang Shang, Associate Professor, Research Experiment Center, Meizhou People’s Hospital, No. 63 Xinfeng Street, Meizhou 514031, Guangdong Province, China. shangzifang@foxmail.com
Key Words	Indocyanine green; Fluorescent cholangiography; Biliary variation; Laparoscopic cholecystectomy; Communicating accessory bile duct; Case report
Core Tip	Iatrogenic bile duct injury is a severe complication of laparoscopic cholecystectomy, often caused by unrecognized anatomical variations. Pre-operative magnetic resonance cholangiopancreatography can easily overlook uncommon variants, such as a ring-like communicating accessory bile duct (CABD), due to spatial resolution limitations or overlapping fluid signals. This case demonstrates that intraoperative low-dose indocyanine green fluorescent cholangiography offers helpful visual guidance, assisting surgeons in recognizing complex ring-like CABDs and associated impacted lithiasis to achieve the critical view of safety.
Citation	Li J, Li KF, Cheng FY, Shang ZF. Low-dose indocyanine green fluorescent cholangiography in ring-like communicating accessory bile duct with impacted lithiasis: A case report. World J Gastroenterol 2026; In press DOI: https://doi.org/10.3748/wjg.126532
PDF	126532-in-press.pdf

Received	2026-08-07 03:03
Peer-Review Started	2026-08-07 03:03
First Decision by Editorial Office Director
Return for Revision	2026-09-09 12:06
Revised	2026-09-18 02:07
Publication Fee Transferred	2026-10-13 00:01
Second Decision by Editor	2026-10-29 07:08
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director	2026-10-29 10:30
Articles in Press	2026-10-29 10:30
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	1007-9327 (print) and 2219-2840 (online)
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Copyright	©Author(s) (or their employer(s)) 2026. No commercial re-use. See Permissions. Published by Baishideng Publishing Group Inc.
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