摘要
目的探讨吲哚菁绿荧光成像技术在腹腔镜脾部分切除术(LPS)中的临床应用价值。方法回顾分析首都医科大学附属北京潞河医院2017年5月至2020年5月利用吲哚菁绿荧光成像技术辅助完成的4例LPS患者资料,女性3例,男性1例,年龄分别为46、41、27、12岁。分析手术情况,术中通过吲哚菁绿荧光成像与普通白光对比确定保脾范围,切脾后荧光成像检测残脾断面并止血,观察荧光褪色情况。结果4例均完成吲哚菁绿荧光成像手术,吲哚菁绿使缺血线更加清晰。手术时间180.0~250.0 min,术中出血量40.0~200.0 ml,术后住院时间4.0~14.0 d。术后无严重并发症。术后病理脾囊肿1例,脾血管瘤2例,脾裂伤1例。术后随访2个月~2年均恢复良好。结论吲哚菁绿荧光成像技术在LPS术中有积极意义,有助于提高LPS手术安全性,具有一定的应用价值。
Objective To study the role of indocyanine green(ICG)fluorescence imaging in laparoscopic partial splenectomy(LPS).Methods The data of 4 patients who underwent ICG fluorescence imaging technology for LPS at Beijing Luhe Hospital Affiliated to Capital Medical University from May 2017 to May 2020 were retrospectively analyzed.There were 3 females and 1 male,aged 46,41,27 and 12 years respectively.The extents of spleen preservation were compared between ICG fluorescence imaging with ordinary white light during operation.The residual splenic remnants were tested with fluorescence imaging after splenectomy,which showed fluorescence fading indicating good vascular perfusion.Results ICG fluorescence imaging was performed on 4 patients.The operation time ranged from 180.0 to 250.0 min,and the intraoperative blood loss ranged from 40.0 to 200.0 ml.The postoperative hospital stay ranged from 4 to 14 days.There were no serious complications.Postoperative histopathology showed:splenic cyst(n=1),splenic hemangioma(n=2),and splenic laceration(n=1).Conclusions ICG fluorescence imaging technology had a significant role to play in partial splenectomy.This study showed this technique to improve safety of laparoscopic partial splenectomy.
作者
张腾
韩威
刘佐军
冯章东
牛旭
孙海涛
邱枫
杨天池
纪宇
Zhang Teng;Han Wei;Liu Zuojun;Feng Zhangdong;Niu Xu;Sun Haitao;Qiu Feng;Yang Tianchi;Ji Yu(Department of General Surgery,Beijing Luhe Hospital of Capital Medical University,Beijing 101101,China)
出处
《中华肝胆外科杂志》
CAS
CSCD
北大核心
2021年第5期367-370,共4页
Chinese Journal of Hepatobiliary Surgery
基金
北京市通州区科技计划项目(KJ2019CX012-57)。
关键词
脾切除术
腹腔镜检查
吲哚菁绿
荧光成像
Splenectomy
Laparoscopy
Indocyanine green
Fluorescence imaging
