吲哚菁绿荧光显像技术在基层医院腹腔镜胆囊切除术中的应用体会OACSTPCD
Application of indocyanine green fluorescence imaging technology in laparoscopic cholecystectomy in primary hospital
目的:总结吲哚菁绿荧光显像技术在基层医院的应用价值及可行性.方法:回顾分析 2021 年 2 月至 2022 年 2月为15 例患者应用荧光腹腔镜行胆囊切除术的临床资料,吲哚菁绿分别采用静脉注射、经皮经肝胆囊穿刺引流管注入及通过鼻胆管注入的方式,胆道造影后行荧光腹腔镜胆囊切除术.结果:15 例荧光腹腔镜下困难胆囊切除术中均实现胆管显影,手术时间平均(1.5±0.7)h,术中出血量平均(35.2±9.5)mL,无胆管损伤、胆漏发生.结论:吲哚菁绿荧光显像技术应用于腹腔镜胆囊切除术利于提高手术安全性、避免医源性胆管损伤,在基层医院开展可取得良好效果.
Objective:To summarize the application value and feasibility of indocyanine green fluorescence imaging technology in primary hospital.Methods:Clinical data of 15 patients who underwent cholecystectomy with fluorescence laparoscopy from Feb.2021 to Feb.2022 were retrospectively analyzed,indocyanine green was infected intravenously,via percutaneous transhepatic gallbladder drainage tube,or via nasal bile duct,respectively.After cholangiography,the fluorescent laparoscopic cholecystectomy was performed.Results:Intraopertive cholangiography was achieved in all 15 cases of difficult cholecystectomy under fluorescence laparoscopy.The average operation time was(1.5±0.7)h,and the average blood loss during operation was(35.2±9.5)mL.No bile duct injury or leak-age occurred.Conclusions:The use of indocyanine green fluorescence imaging technology in laparoscopic cholecystectomy can improve surgical safety,prevent iatrogenic bile duct injuries,and could achieve favorable results in primary hospitals.
张帅;马晓;于牧川
济南市章丘区人民医院肝胆外科,山东 济南,250200济南市章丘区人民医院肿瘤化疗科
临床医学
胆囊切除术,腹腔镜吲哚菁绿基层医院
Cholecystectomy,laparoscopicIndocyanine greenPrimary hospital
《腹腔镜外科杂志》 2024 (004)
281-284 / 4
济南市卫生健康委员会科技计划项目(2021-2-125)
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