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Fluorescence cholangiography during laparoscopic cholecystectomy: a feasibility study on early biliary tract delineation

机译:腹腔镜胆囊切除术中的荧光胆管造影术:早期胆道划界的可行性研究

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摘要

Background Laparoscopic cholecystectomy (LC) is one of the most commonly performed laparoscopic procedures. Bile duct injury is a rare but serious complication during this procedure, mostly caused by misidentification of the extrahepatic bile duct anatomy. Intraoperative cholangiography may be helpful to reduce the risk of bile duct injury; however, this is not a common procedure worldwide. Near-infrared fluorescence cholangiography (NIRFC) using indocyanine green (ICG) is a promising alternative for the identification of the biliary tree. This prospective observational study was designed to assess the feasibility and image quality of intermittent NIRFC during LC, using a newly developed laparoscopic fluorescence system.
机译:背景腹腔镜胆囊切除术(LC)是最常执行的腹腔镜手术之一。胆管损伤是这种手术中罕见但严重的并发症,主要是由于肝外胆管解剖结构的错误识别引起的。术中胆道造影可能有助于降低胆管损伤的风险;但是,这在世界范围内并不常见。使用吲哚菁绿(ICG)的近红外荧光胆管造影术(NIRFC)是鉴定胆道树的有希望的替代方法。这项前瞻性观察研究旨在使用新开发的腹腔镜荧光系统评估间歇性NIRFC在LC期间的可行性和图像质量。

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  • 来源
    《Surgical Endoscopy》 |2013年第5期|1530-1536|共7页
  • 作者单位

    Department of Surgery Maastricht University Medical Center">(1);

    NUTRIM School for Nutrition Toxicology and Metabolism Maastricht University">(3);

    Department of Surgery Maastricht University Medical Center">(1);

    NUTRIM School for Nutrition Toxicology and Metabolism Maastricht University">(3);

    Department of Gastroenterology and Hepatology Maastricht University Medical Center">(2);

    NUTRIM School for Nutrition Toxicology and Metabolism Maastricht University">(3);

    Department of Surgery Maastricht University Medical Center">(1);

    NUTRIM School for Nutrition Toxicology and Metabolism Maastricht University">(3);

    Department of Surgery Maastricht University Medical Center">(1);

    NUTRIM School for Nutrition Toxicology and Metabolism Maastricht University">(3);

    Department of Surgery Maastricht University Medical Center">(1);

    NUTRIM School for Nutrition Toxicology and Metabolism Maastricht University">(3);

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  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

    Laparoscopic cholecystectomy; Near-infrared fluorescence cholangiography; Indocyanine green; Biliary anatomy; Critical view of safety;

    机译:腹腔镜胆囊切除术;近红外荧光胆管造影;吲哚花青绿;胆道解剖;安全批判性观点;

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