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首页> 外文期刊>Patient Safety in Surgery >The role of indocyanine green fluoroscopy for intraoperative bile duct visualization during laparoscopic cholecystectomy: an observational cohort study in 70 patients
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The role of indocyanine green fluoroscopy for intraoperative bile duct visualization during laparoscopic cholecystectomy: an observational cohort study in 70 patients

机译：吲哚菁绿荧光透视在腹腔镜胆囊切除术中术中胆管可视化中的作用：一项观察性队列研究，涉及70例患者

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摘要

Bile duct injury is the most feared complication during laparoscopic cholecystectomy. Real-time intraoperative imaging using indocyanine green (ICG) might reduce the risk of bile duct injury by improving visualization of the biliary tree during laparoscopic cholecystectomy. We compared the outcomes of laparoscopic cholecystectomy in patients with and without real-time ICG. A retrospective analysis of the data of patients undergoing laparoscopic cholecystectomy with and without ICG in a referral centre for minimally invasive surgery was performed. We hypothesized that laparoscopic cholecystectomy with real-time ICG enables a better identification of the biliary tree and thus increases surgical safety. The outcomes of laparoscopic cholecystectomy with and without ICG were compared using the duration of surgery, the rate of bile duct injury, the rate of conversion, complications and the length of stay. Seventy patients including 29 with and 41 without ICG underwent laparoscopic cholecystectomy within the period of investigation. The median duration of surgery was 53.0 vs. 54.0?min while the median length of stay was 2.0 d in the group with and without ICG respectively. The rate of conversion was 2.4% in the group without ICG, while no conversion was performed in the group with ICG. NO bile duct injury occurred in both groups. These differences were not statistically significant. Laparoscopic cholecystectomy with real-time indocyanine green fluorescence cholangiography enables a better visualization and identification of biliary tree and therefore should be considered as a means of increasing the safety of laparoscopic cholecystectomy.
机译：胆管损伤是腹腔镜胆囊切除术中最担心的并发症。术中使用吲哚菁绿（ICG）进行实时术中成像可通过改善腹腔镜胆囊切除术中胆道树的可视化来降低胆管损伤的风险。我们比较了有或没有实时ICG患者的腹腔镜胆囊切除术的结果。对在微创手术转诊中心接受腹腔镜胆囊切除术（带或不带ICG）的患者数据进行回顾性分析。我们假设采用实时ICG的腹腔镜胆囊切除术可以更好地识别胆道树，从而提高手术安全性。比较了手术时间，胆管损伤率，转化率，并发症和住院时间，对有无ICG的腹腔镜胆囊切除术的结果进行了比较。在研究期间，对70例患者进行了腹腔镜胆囊切除术，包括29例有ICG和41例无ICG。有和没有ICG组的中位手术时间分别为53.0和54.0？min，而中位住院时间分别为2.0 d。不使用ICG的组的转化率为2.4％，而使用ICG的组未进行转化。两组均未发生胆管损伤。这些差异无统计学意义。带有实时吲哚菁绿色荧光胆管造影术的腹腔镜胆囊切除术可以更好地可视化和鉴定胆道树，因此应被视为增加腹腔镜胆囊切除术安全性的一种手段。

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