吲哚菁绿荧光导航在腹腔镜经胆囊管胆总管探查取石术中的临床应用OACSTPCD

Objective To investigate the application of indocyanine green fluorescence navigated laparoscopic transcystic common bile duct exploration(LTCBDE).Methods A total of 62 patients with common bile duct stone,who underwent laparoscopic operation by a single medical team between Jan.2022 and Dec.2023 in Xianju People's Hospital,were retrospectively analyzed.Of 62 patients,20 cases underwent indocyanine green fluorescence navigated LTCBDE(LTCBDE group),42 cases received laparoscopic common bile duct exploration with T-tube drainage(LCBDE+T-tube drainage group).The perioperative indicators and the incidence of postoperative complications were compared between the two groups.Results The diameter of common bile duct in LTCBDE group was significantly smaller than that in LCBDE+T-tube drainage group(P<0.05).No significant difference was observed in other preoperative indicators between the two groups(P>0.05).Compared with LCBDE+T-tube drainage group,LTCBDE group showed reduced operation time,intraoperative blood loss,postoperative hospitalization time and time of postoperative analgesia usage(P<0.05).Two groups showed comparable postoperative outcomes regarding the white blood cell counts,total bilibulin level,alaninetransaminase level,C-reactive protein level,and the incidence of postoperative fever,bile leakage,residual stones and biliary stricture on the 3rd day after surgery.Conclusion Indocyanine green fluorescence navigated LTCBDE is safe and feasible.Compared with LCBDE+T-tube drainage,LTCBDE can reduce the operation time,intraoperative blood loss and the postoperative hospitalization time.