吲哚菁绿荧光成像技术在腹腔镜胆囊切除术中的应用效果  

Study on the Application Effect of Indocyanine Green Fluorescence Imaging Technique in Laparoscopic Cholecystectomy

作　　者：姬文超 韩瑞 牛莉莉[1] 程少华 JI Wenchao;HAN Rui;NIU Lili;CHENG Shaohua(Zaozhuang Municipal Hospital,Shandong Province,Zaozhuang 277100,China;不详)

机构地区：[1]山东省枣庄市立医院,山东枣庄277100 [2]山东健康集团枣庄医院

出　　处：《中国医学创新》2023年第16期163-166,共4页Medical Innovation of China

摘　　要：目的:探究吲哚菁绿(ICG)荧光成像技术在腹腔镜胆囊切除术中(LC)的应用效果。方法:选取2020年1月-2022年1月枣庄市立医院收治的500例接受腹腔镜胆囊切除术的患者,按照患者手术方式将其分为对照组及观察组。对照组(n=250)接受常规腹腔镜胆囊切除术,观察组(n=250)接受吲哚菁绿荧光成像下腹腔镜胆囊切除术。比较两组患者手术时间、术中出血量、胃肠功能恢复时间、肝外胆管可识别等级、胆囊三角暴露时间、留置引流管例数、中转开腹例数、并发症发生率。结果:观察组手术时间短于对照组,且术中出血量少于对照组(P<0.05)。观察组肠道功能恢复时间、住院时间均短于对照组(P<0.05)。观察组肝外胆管可识别等级优于对照组,观察组胆囊三角暴露时间短于对照组(P<0.05)。观察组引流管放置、中转开腹例数与对照组相较,差异均无统计学意义(P>0.05)。两组患者随访6个月均未出现胆管损伤。结论:吲哚菁绿荧光成像技术在腹腔镜胆囊切除术中优势显著,能对离断胆管起到再验证作用,在腹腔镜胆囊切除术中,采用吲哚菁绿荧光成像技术,可辅助判断患者胆道结构,降低术中损伤程度,可明显缩短手术时间,降低术中出血量,同时,该项技术对于经验较少医生,上述优势更加明显。Objective:To investigate the application effect of indocyanine green(ICG)fluorescence imaging in laparoscopic cholecystectomy(LC).Method:A total of 500 patients underwent laparoscopic cholecystectomy admitted to Zaozhuang Municipal Hospital from January 2020 to January 2022 were selected,they were divided into control group and observation group according to surgical methods.The patients in the control group received conventional laparoscopic cholecystectomy and the observation group(n=250)received laparoscopic cholecystectomy under indocyanine green fluorescence imaging technique.The operation time,intraoperative blood loss,gastrointestinal function recovery time,identifiable grade of extrahepatic bile duct,burst time of gallbladder triangle leakage,the number of indwelling drainage tube,the number of conversion to laparotomy,and the incidence of complications were compared between the two groups.Result:The operative time of the observation group was shorter than that of the control group,and the intraoperative blood loss was less than that of the control group(P<0.05).The gastrointestinal function recovery time and the hospital stay of the observation group were shorter than those of the control group(P<0.05).The identifiable grade of extrahepatic bile duct of the observation group was better than that of the observation group,the time of gallbladder triangle leakage of the observation group was shorter than that of the control group(P<0.05).There were no significant differences in the number of drainage tube placement and conversion to laparotomy between the two groups(P>0.05).No bile duct injury occurred in both groups at 6-month follow-up.Conclusion:Indocyanine green fluorescence imaging technique has significant advantages in laparoscopic cholecystectomy,and can play a re-verification role on the disconnected bile duct,in laparoscopic cholecystectomy,the use of indocyanine green fluorescence imaging technique can assist in judging the biliary tract structure of patients,reduce the degree of intraoperative i

关 键 词：吲哚菁绿荧光成像技术 腹腔镜 胆囊切除术 

分 类 号：R657.4[医药卫生—外科学]