腹腔镜外科杂志2024,Vol.29Issue(5):358-362,5.DOI:10.13499/j.cnki.fqjwkzz.2024.05.358
吲哚菁绿荧光显影在腹腔镜再次胆道探查术中的应用研究
Application of indocyanine green fluorescence imaging in laparoscopic biliary re-exploration
摘要
Abstract
Objective:To evaluate the clinical application value of indocyanine green fluorescence imaging in laparoscopic bili-ary re-exploration.Methods:Retrospective analysis was performed on the clinical data of 52 patients who underwent laparoscopic biliary re-exploration from Jan.2020 to Dec.2022.The clinical indexes related to 24 cases of fluorescence laparoscopy(fluorescence group)and 28 cases of ordinary laparoscopy(ordinary group)were compared.Results:There were no significant differences in baseline data,intraoperative combined biliary enteral drainage,postoperative biliary leakage,and calculi residual rates between the two groups(P>0.05).Operation time[(119.2±44.0)min vs.(159.0±52.4)min],extrahepatic bile duct search time[(21.0±7.8)min vs.(38.8±12.5)min],blood loss[(97.1±61.3)mL vs.(226.8±210.2)mL],the incidence of postoperative infection(8.3%vs.32.1%),the incidence of pancreatitis(4.2%vs.28.6%),postoperative drainage tube removal time[(2.7±1.1)d vs.(3.8±1.4)d],and post-operative hospitalization time[(6.4±2.3)d vs.(10.3±3.2)d]in fluorescence group and ordinary group were statistically significantly different(P<0.05).Conclusions:Indocyanine green fluorescence imaging is safe and effective in laparoscopic biliary re-exploration,which can shorten the operation time and reduce the incidence of postoperative complications.This technique is worthy of further appli-cation and promotion in clinical practice.关键词
胆道探查术/腹腔镜检查/吲哚菁绿/荧光成像技术Key words
Biliary exploration/Laparoscopy/Indocyanine green/Fluorescence imaging technology分类
医药卫生引用本文复制引用
朱超,金浩,刘会春,王勇,庞青,潘洪涛,胡小四,陈石磊,周帅,王志成..吲哚菁绿荧光显影在腹腔镜再次胆道探查术中的应用研究[J].腹腔镜外科杂志,2024,29(5):358-362,5.基金项目
安徽省高校自然科学研究项目(2023AH053366) (2023AH053366)
安徽省高校自然科学研究项目(2023AH053384) (2023AH053384)