实时荧光腹腔镜胆囊切除术的临床应用价值探讨  

Clinical Value of Real-Time Fluorescence Laparoscopic Cholecystectomy

作　　者：宋健辉 尹家俊[1] 车超 吴惧[1] 徐键[1] SONG Jianhui;YIN Jiajun;CHE Chao;WU Ju;XU Jian(Department of Hepatobiliary Laparoscopic Surgery,Zhongshan Hospital,Dalian University,Dalian 116001,China)

机构地区：[1]大连大学附属中山医院肝胆腹腔镜外科,大连116001

出　　处：《中国医药指南》2024年第4期11-13,共3页Guide of China Medicine

基　　金：辽宁省自然科学基金(2023JH2/101300102);大连大学学科交叉项目(DLUXK-2022-ZD-003)。

摘　　要：目的 探讨吲哚氰绿实时荧光导航技术在腹腔镜胆囊切除术中的临床应用价值。方法 50例择期行腹腔镜胆囊切除术的患者术前30 min经手背静脉注射吲哚氰绿2.5 mg(1支吲哚氰绿溶于10 ml注射用水中取1 ml),使用苏州国科美润达医疗技术有限公司的荧光腹腔镜系统实施手术,术中于荧光模式下辨认肝外胆道并仔细分离胆囊三角。结果 50例患者肝外胆道系统全部显影,胆囊管、肝总管及胆总管三管关系清晰,其中2例胆囊管并行肝总管约2 cm后汇入胆总管。结论 吲哚氰绿实时荧光导航技术能够很好的显示肝外胆道系统,能够使腹腔镜胆囊切除术更完美、更安全。Objective To investigate the clinical value of indocyanine green real-time fluorescence navigation in laparoscopic cholecystectomy.Methods 50 patients with selective laparoscopic cholecystectomy were injected with indocyanine green 2.5 mg(1 indocyanine green soluble in 10ml injection water and take 1ml)30 minutes before surgery,using the fluorescence system of Suzhou Guoke Meilunda Medical Technology Co.,Ltd.to perform surgery.The extrahepatic bile duct was identified in fluorescence mode and the gallbladder triangle was carefully dissected.Results 50 patients with extrahepatic bile duct system were all developed,and the relationship between bile duct,common hepatic duct and common bile duct was clear.Among them,2 gallbladder ducts were imported into the right hepatic duct,and 2 gallbladder ducts were merged into the bile duct after about 2 cm.Conclusions indocyanine green realtime fluorescence navigation technique can show the extrahepatic biliary system and make laparoscopic cholecystectomy more perfect and safer.

关 键 词：腹腔镜胆囊切除术 荧光腹腔镜 吲哚氰绿 

分 类 号：R657.4[医药卫生—外科学]