吲哚菁绿荧光显像技术在充满型胆囊结石腹腔镜胆囊切除术中的临床应用OACSTPCD

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.