荧光腹腔镜对胆囊切除术中胆囊三角的精准定位

doi:10.3969/j.issn.1005-6483.2021.07.012

摘要/Abstract

摘要： 目的探讨荧光腹腔镜对胆囊切除术中胆囊三角识别的效果及临床应用价值。
方法腹腔镜胆囊切除病人130例，按手术方式分为两组，A组87例，采用普通腹腔镜胆囊切除术，B组43例，采用吲哚菁绿(indocyanine green，ICG)腹腔镜胆囊切除，比较两组术中情况及术后并发症。
结果 130例全部在腹腔镜下成功完成胆囊切除，未出现中转开腹情况。A组的手术时间(69.75±25.64)分钟、术中出血量(4.40±4.02)ml、住院时间(4.49±1.01)天、拔管时间(3.15±0.83)天，有5例出现术后并发症；B组的手术时间(72.33±29.14)分钟、术中出血量(4.19±2.83)ml、住院时间(4.42±0.88)天、拔管时间(3.09±0.72)天，未出现术后并发症，两组比较差异均无统计学意义(P＞0.05)，ICG造影用药过程中无药物过敏现象以及其他与药物相关的并发症。
结论 ICG应用于腹腔镜胆囊切除术有助于术者更好地识别胆囊三角，增加手术安全性，且对手术时间及术后并发症并无明显影响。

关键词: 腹腔镜胆囊切除, 吲哚菁绿, 胆道造影, 胆囊三角

Abstract: Objective To explore the effect of fluorescence laparoscopy on the recognition of gallbladder triangle during cholecystectomy and its clinical application.
Methods A retrospective analysis of 130 cases of laparoscopic cholecystectomy(LC) was performed.The patients were divided into two groups:Group A(87 cases) and Group B(43 cases),the intraoperative and postoperative complications of the two groups were statistically analyzed.
Results All 130 patients underwent laparoscopic cholecystectomy without conversion to open surgery.In Group A,the operation time(69.75±25.64) Min,intraoperative blood loss(4.40±4.02)ml,hospital stay(4.49±1.01)D,extubation time(3.15±0.83)D,there were 5 patients with postoperative complications.The operation time(72.33±29.14) Min,intraoperative bleeding(4.19±2.83)ML,hospital stay(4.42±0.88) D and extubation time(3.09±0.72) D in Group B,no postoperative complications were found.There was no significant difference between the two groups(P>0.05)，there were no drug allergy and other drug-related complications during indocyanine green angiography.
Conclusion The application of Indocyanine Green(ICG) in laparoscopic cholecystectomy is helpful to judge the anatomy of biliary tract and has no effect on the operation time and postoperative complications,which increased the safety of surgery.

Key words: laparoscopic cholecystectomy； indocyanine green； cholangiography, cystic triangle

郑鹏韩从辉. 荧光腹腔镜对胆囊切除术中胆囊三角的精准定位[J]. 临床外科杂志, 2021, 29(7): 631-634.

ZHENG Peng, HAN Conghui.. Accurate localization of the triangle of the gallbladder in fluorescent laparoscopic cholecystectomy[J]. JOURNAL OF CLINICAL SURGERY, 2021, 29(7): 631-634.

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