Intracholecystic indocyanine green (ICG) provides quicker and clearer views of biliary anatomy during laparoscopic cholecystectomy.

• Cystic duct visibility improved from 70% pre-dissection (IV-ICG) to 85% (IC-ICG), reaching 95% post-dissection.
• Common hepatic duct visibility was 85% (IV-ICG) versus 45% (IC-ICG).

Surgeons can use IC-ICG immediately, bypassing the delay associated with IV-administered ICG.

• Minor bile leakage occurred in 2 IC-ICG cases.