Kaneko Junichi, Ishizawa Takeaki, Masuda Koichi, Kawaguchi Yoshikuni, Aoki Taku, Sakamoto Yoshihiro, Hasegawa Kiyoshi, Sugawara Yasuhiko, Kokudo Norihiro
Department of Surgery, Hepato-Biliary-Pancreatic Surgery Division, Graduate School of Medicine, University of Tokyo, Tokyo, Japan.
Surg Laparosc Endosc Percutan Tech. 2012 Aug;22(4):341-4. doi: 10.1097/SLE.0b013e3182570240.
For safe laparoscopic cholecystectomy, surgeons must possess detailed knowledge of the anatomy of the bile duct and arterial system as seen through a laparoscope.
We developed an indocyanine green (ICG) reinjection technique for use in fluorescent angiography. Here, we evaluated the efficacy of the ICG reinjection technique in fluorescent angiography in discriminating the arterial system with the concomitant use of fluorescent cholangiography.
Twenty-eight patients were enrolled in the study. All patients underwent laparoscopic cholecystectomy without complication. After reinjection of ICG during surgery, fluorescence of the cystic artery was visualized in 25 patients (89%).
Fluorescent angiography using this ICG reinjection technique might enhance the safety of laparoscopic cholecystectomy.
为了安全地进行腹腔镜胆囊切除术,外科医生必须具备通过腹腔镜所看到的胆管和动脉系统的详细解剖知识。
我们开发了一种用于荧光血管造影的吲哚菁绿(ICG)再注射技术。在此,我们评估了ICG再注射技术在荧光血管造影中与荧光胆管造影同时使用时鉴别动脉系统的有效性。
28例患者纳入本研究。所有患者均顺利接受腹腔镜胆囊切除术,无并发症发生。术中再次注射ICG后,25例患者(89%)可见胆囊动脉荧光。
使用这种ICG再注射技术的荧光血管造影可能会提高腹腔镜胆囊切除术的安全性。