摘要
Abstract
Objective:To investigate the safety and effectiveness of indocyanine green fluorescence visualization technique in laparoscopic cholecystectomy(LC)for filled type cholecystolithiasis.Methods:Seventy-six patients with filled type cholecystolithiasis requiring LC admitted from Jan.2023 to Oct.2023 were selected and divided into fluorescence group(n=36)and conventional group(n=40)according to the random number table method,in order to compare and analyze intraoperative conditions,postoperative related indexes,and complications in the two groups.Results:Compared with the conventional group,the fluorescence group showed significant reduction in operation time,time to separate the Calot triangle and transect the cystic duct,intraoperative blood loss,number of retro-grade LC,and cases of gallbladder rupture(P<0.05).There was no statistically significant difference in the number of drainage tube placement between the two groups(P>0.05).Postoperative indicators,including white blood cell count,alanine aminotransferase level and direct bilirubin level on the postoperative third day,hospital stay,and pain numerical rating scores,showed no statistically signifi-cant difference(P>0.05).Regarding the postoperative complications,there was no statistically significant difference in the number of intra-abdominal hemorrhage,bile leakage,or bile duct injury between the two groups(P>0.05).There was no abnormality in the post-operative follow-up of 1-3 months.Conclusions:The application of indocyanine green fluorescence imaging technology in LC for filled type cholecystolithiasis is safe,effective,and convenient,and is worth popularization and application.关键词
充满型胆囊结石/吲哚菁绿/胆囊切除术,腹腔镜Key words
Filled cholecystolithiasis/Indocyanine green/Cholecystectomy,laparoscopic分类
医药卫生