摘要
目的:探讨吲哚菁绿荧光成像技术在复杂腹腔镜胆囊切除术中的应用价值。方法:选取2019年2月至2023年3月收治的78例胆囊炎症病史、行胆囊穿刺病史或有上腹部手术史的患者,术前均经强化CT或彩超证实胆囊结石、胆囊炎。术前或术中予以静脉或胆囊内注射稀释的吲哚菁绿,在荧光腹腔镜下行胆囊切除术。结果:78例患者注射吲哚菁绿后均未出现不良反应,71例胆管显影,手术时间平均(69.89±24.17)min;术中失血量平均(36.63±37.15)mL;胆囊管变异1例,胆囊床胆漏2例,胆总管漏1例;术后平均住院(4.62±1.79)d,无胆管损伤发生。结论:在复杂腹腔镜胆囊切除术中应用吲哚菁绿荧光成像技术可帮助发现胆管变异、胆漏,避免胆管损伤,是安全、可行、可靠的。
Objective:To explore the clinical application value of indocyanine green fluorescence imaging technique in complex laparoscopic cholecystectomy.Methods:From Feb.2019 to Mar.2023,a total of 78 patients with history of gallbladder inflammation,history of gallbladder puncture,or history of upper abdominal surgery were selected.All patients were confirmed to have gallstones and cholecystitis by preoperative enhanced CT or color Doppler ultrasound.Before or during the operation,diluted indocyanine green was i njected intravenously or in the gallbladder,and cholecystectomy was performed under fluorescence laparoscopy.Results:There were no adverse reactions after indocyanine green injection in 78 patients,the bile duct was developed in 71 patients,and the average operation time was(69.89±24.17)min.The average intraoperative blood loss was(36.63±37.15)mL.There was 1 case of cystic duct variation,2 cases of gallbladder bed bile leakage and 1 case of common bile duct leakage.The average postoperative hospital stay was(4.62±1.79)d,and no bile duct injury occurred.Conclusions:The application of indocyanine green fluorescence imaging technology in c omplex laparoscopic cholecystectomy can help find bile duct variation and bile leakage,and avoid bile duct injury,which is safe,feasible and reliable.
作者
李斌
梁艳
王新安
于安星
代学强
刘栋栋
吕晓宇
LI Bin;LIANG Yan;WANG Xin'an(Department of Hepatobiliary Surgery,Pingdu People's Hospital,Qingdao 266700,China)
出处
《腹腔镜外科杂志》
2024年第2期126-129,共4页
Journal of Laparoscopic Surgery
基金
青岛市卫生健康局基金支持项目(2021-WJZD328)。
关键词
胆囊切除术
腹腔镜
吲哚菁绿
荧光成像
Cholecystectomy,laparoscopic
Indocyanine green
Fluorescence imaging
