吲哚菁绿荧光显影在急性厚壁胆囊炎腔镜切除术中的应用
孙旭 1岑峰 1潘治平 1严强1
作者信息
摘要
目的 分析评估吲哚菁绿(ICG)荧光显影技术在腹腔镜下急性厚壁胆囊炎切除术中的应用价值.方法 收集2020年2月至2022年8月行腹腔镜下胆囊切除术的患者61例,根据腹腔镜术中成像方式不同分为传统组34例和荧光组27例,比较两组患者一般资料和术前、术中、术后情况.结果 荧光组首次胆囊三角解剖时间(Z=-6.451,P<0.001)、手术时间(Z=-5.23,P<0.001)、术中出血量(Z=-4.774,P<0.001)明显优于传统组,术后胆漏发生、引流管留置时间和住院时间比较差异无统计学意义(P<0.05).结论 ICG荧光显影技术的应用使术者在厚壁急性胆囊炎腹腔镜切除术中解剖更清晰,手术时间缩短,术后并发症减少,加快患者康复,值得临床应用推广.
Abstract
Objective To analyze and evaluate the clinical application of indocyanine green fluorescence cholangiography in laparoscopic cholecystectomy due to acute wall-thickening Cholecystitis.Methods A total of 61 patients with acute wall-thickening Cholecystitis were selected,who underwent laparoscopic cholecystectomy in Huzhou Central Hospital during February 2020 to August 2022 and divided into two groups according to the laparoscopic imaging technology.Results Compared with the traditional group,the fluorescence group presented a significant superiority with a shorter time of first-time gallbladder triangle exploration(Z=-6.451,P<0.001),a shorter surgical time(Z=-5.23,P<0.001)and a lower intraoperative blood loss(Z=-4.774,P<0.001).However,there was a little bit advantage of the fluorescence group in bile leakage rate,drainage time and postoperative stay without significant difference.Conclusion Indocyanine green fluorescence cholangiography makes the physicians confident during the laparoscopic cholecystectomy with acute wall-thickening cholecystitis,accelerating the operative progress,shortening the surgical time,lowing the morbidity and enhancing the recovery.Thus,it is worthy of being widely applied in clinic.
关键词
急性胆囊炎/厚壁型/吲哚菁绿/荧光显影/腹腔镜胆囊切除术Key words
Acute cholecystitis/Wall thickening/Indocyanine green/Fluorescence cholangiography/Laparoscopic cholecystectomy引用本文复制引用
基金项目
湖州市科技计划公益性应用研究项目(2021GYB21)
出版年
2024
NETL
NSTL
万方数据