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作 者:金法[1] 胡朝 吴可人[1] 徐涛[1] 叶志鹏[1] 郑国淀 李宁[1] Jin Fa
机构地区:[1]浙江省中医院,浙江中医药大学附属第一医院,310006 [2]浙江中医药大学第一临床医学院,310053
出 处:《浙江临床医学》2021年第12期1711-1713,共3页Zhejiang Clinical Medical Journal
基 金:国家自然科学资金资助项目(2074195)。
摘 要:目的探讨吲哚菁绿(ICG)焚光导航在急性胆囊炎行腹腔镜胆囊切除术(LC)中的应用价值。方法回顾性分析2019年1月至2021年6月在浙江省中医院行LC的急性胆囊炎患者203例,其中利用ICG胆道造影者106例(ICG组),常规LC共97例(常规LC组),比较两组的术中相关指标及术后随访情况。结果ICG组的肝外胆管可识别等级、胆囊三角暴露时间、手术时间及术中出血量与常规LC组比较,差异均有统计学意义(P<0.05)。ICG组留置引流管、中转开腹的情况与常规LC组比较,差异均无统计学意义(P>0.05)。结论ICG荧光导航可为术者提供较为清晰的手术视野,不仅可以缩短手术时间,而且可以避免不必要的解剖损伤。Objective To investigate the application value of indocyanine green(ICG)fluorescence navigation in laparoscopic cholecystectomy(LC)for acute cholecystitis.Methods A retrospective analysis was performed on 203 patients with acute cholecystitis who underwent LC in Zhejiang Hospital of Traditional Chinese Medicine from January 2019 to June 2021,including 106 patients with ICG cholangiography(ICG group)and 97 patients with conventional LC(conventional LC group).The intraoperative indicators and postoperative follow-up of the two groups were compared.Results Compared with the conventional LC group,there were statistically significant differences in extrahepatic bile duct recognition grade,gallbladder triangle exposure time,operation rime and intraoperative blood loss in ICG group(P<0.05).There were no significant differences in placement of drainage tube and conversion to laparotomy between ICG group and conventional LC group(P>0.05).Conclusion ICG fluorescent navigation can provide a clear surgical field for the surgeon,which can not only shorten the operation time,but also avoid unnecessary anatomical injury.
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