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吲哚菁绿荧光成像在全层胆囊切除术中的应用。

Application of indocyanine green-fluorescence imaging to full-thickness cholecystectomy.

作者信息

Morita Kiyomi, Ishizawa Takeaki, Tani Keigo, Harada Nobuhiro, Shimizu Atsushi, Yamamoto Satoshi, Takemura Nobuyuki, Kaneko Junichi, Aoki Taku, Sakamoto Yoshihiro, Sugawara Yasuhiko, Hasegawa Kiyoshi, Kokudo Norihiro

机构信息

Hepato-Biliary-Pancreatic Surgery Division, Department of Surgery, Graduate School of Medicine, the University of Tokyo, Tokyo, Japan.

出版信息

Asian J Endosc Surg. 2014 May;7(2):193-5. doi: 10.1111/ases.12083.

Abstract

Fluorescence imaging using indocyanine green (ICG) has recently been applied to laparoscopic surgery to identify cancerous tissues, lymph nodes, and vascular anatomy. Here we report the application of ICG-fluorescence imaging to visualize the boundary between the liver and subserosal tissues of the gallbladder during laparoscopic full-thickness cholecystectomy. A patient with a potentially malignant gallbladder lesion was administered 2.5-mg intravenous ICG just before laparoscopic full-thickness cholecystectomy. Intraoperative fluorescence imaging enabled the real-time delineation of both extrahepatic bile duct anatomy and hepatic parenchyma throughout the procedure, which resulted in complete removal of subserosal tissues between liver and gallbladder. Safe and feasible ICG-fluorescence imaging can be widely applied to laparoscopic hepatobiliary surgery by utilizing a biliary excretion property of ICG.

摘要

使用吲哚菁绿(ICG)的荧光成像最近已应用于腹腔镜手术,以识别癌组织、淋巴结和血管解剖结构。在此,我们报告在腹腔镜全层胆囊切除术中,应用ICG荧光成像来可视化肝脏与胆囊浆膜下组织之间的边界。一名患有潜在恶性胆囊病变的患者在腹腔镜全层胆囊切除术即将开始前静脉注射了2.5毫克ICG。术中荧光成像能够在整个手术过程中实时描绘肝外胆管解剖结构和肝实质,从而完全切除肝脏与胆囊之间的浆膜下组织。通过利用ICG的胆汁排泄特性,安全可行的ICG荧光成像可广泛应用于腹腔镜肝胆手术。

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