吲哚菁绿荧光成像技术在基层医院复杂腹腔镜胆囊切除术中的临床应用OACSTPCD
Clinical application of indocyanine green fluorescence imaging technology in complex laparoscopic cholecystectomy in primary hospital
目的:探讨吲哚菁绿(ICG)荧光成像技术在基层医院复杂腹腔镜胆囊切除术(LC)中的应用价值.方法:选取2023 年8 月至2024 年3 月收治的192 例行复杂LC的患者作为研究对象.根据术前是否使用ICG荧光成像技术分为对照组(n=94)与ICG组(n=98).对照组行常规LC,ICG组采用荧光模式行LC.对比分析两组手术时间、术中分离胆囊管时间、术中出血量、术后住院时间、术后肠道通气时间、术后肝肾功能、住院总费用、术中胆道损伤等指标.结果:ICG组术中分离胆囊管时间短于对照组[(13.32±3.79)min vs.(17.51±6.84)min],术中出血量少于对照组[5.00(5.00,10.00)mL vs.25.00(10.00,50.00)mL],差异有统计学意义(P<0.05).两组手术时间、术后住院时间、术后肠道通气时间、术后肝肾功能、住院总费用差异均无统计学意义(P>0.05).两组均未发生术中胆道损伤.结论:ICG荧光成像技术应用于基层医院复杂LC可提高手术安全性,值得在基层医院开展.
Objective:To explore the clinical application value of indocyanine green(ICG)fluorescence imaging technology in complex laparoscopic cholecystectomy(LC)in primary hospital.Methods:A total of 192 patients who underwent complex LC from Aug.2023 to Mar.2024 were selected as the research subjects.According to whether ICG fluorescence imaging technology was used before surgery,the patients were divided into control group(94 cases)and ICG group(98 cases).The control group received conven-tional LC,and the ICG group received fluorescence LC.The two groups were compared in terms of operation time,intraoperative cystic duct separation time,intraoperative blood loss,postoperative hospital stay,postoperative intestinal ventilation time,postoperative liver and kidney function,total hospitalization cost,and intraoperative bile duct injury.Results:Compared with the control group,in the ICG group the time for separating the gallbladder duct during operation was shorter[(13.32±3.79)min vs.(17.51±6.84)min],the intra-operative blood loss was less[5.00(5.00,10.00)mL vs.25.00(10.00,50.00)mL],and the differences were statistically significant(P<0.05).There were no significant differences in operation time,postoperative hospital stay,postoperative intestinal ventilation time,postoperative liver function and renal function,and total hospitalization cost between the two groups(P>0.05).No intraoperative bile duct injury occurred in either group.Conclusions:The application of ICG fluorescence imaging technology in complex LC in primary hospital can improve the safety of surgery,and it is worthy of clinical promotion and application in primary hospital.
田伟;潘伟;田建兴;杨春元;朱宗龙;邓旭;黄锐
乐至县人民医院肝胆外科,四川 资阳,641500乐至县人民医院肝胆外科,四川 资阳,641500乐至县人民医院肝胆外科,四川 资阳,641500乐至县人民医院肝胆外科,四川 资阳,641500乐至县人民医院肝胆外科,四川 资阳,641500乐至县人民医院肝胆外科,四川 资阳,641500乐至县人民医院肝胆外科,四川 资阳,641500
临床医学
胆囊切除术,腹腔镜吲哚菁绿荧光成像技术基层医院
Cholecystectomy,laparoscopicIndocyanine greenFluorescence imaging technologyPrimary hospital
《腹腔镜外科杂志》 2024 (11)
843-847,5
资阳市医学科学课题项目(KY2023112)
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