腹腔镜胆囊切除术中的荧光胆管造影术：加拿大的初步经验。
Fluorescent cholangiography in laparoscopic cholecystectomy: the initial Canadian experience.
作者信息
Zroback Chris, Chow Geoffrey, Meneghetti Adam, Warnock Garth, Meloche Mark, Chiu Chieh Jack, Panton Ormond Neely
机构信息
Department of Surgery, Division of General Surgery, UBC Faculty of Medicine, 950 West 10th Ave, Vancouver, BC V5Z 1M9, Canada.
Department of Surgery, Division of General Surgery, UBC Faculty of Medicine, 950 West 10th Ave, Vancouver, BC V5Z 1M9, Canada.
出版信息
Am J Surg. 2016 May;211(5):933-7. doi: 10.1016/j.amjsurg.2016.01.013. Epub 2016 Feb 23.
BACKGROUND
Bile duct injury remains a worrisome complication of laparoscopic cholecystectomy. Indocyanine Green (ICG) fluorescent cholangiography (FC) is a new approach that facilitates real-time intraoperative identification of biliary anatomy. This technology is hoped to improve the safety of dissection within Calot's triangle.
METHOD
Demographics, intraoperative details, and subjective surgeon data were recorded for elective cholecystectomy cases involving ICG. Goals were to identify rates of bile duct identification, and assess the perceived benefit of the device.
RESULTS
ICG was used in 12 biliary cases in Canada. Visualization rates of the cystic and common bile ducts were 100% and 83%, respectively. Also, 83% of surgeons felt that FC incorporated smoothly into the operation. No complications have been related to the technology.
CONCLUSIONS
FC allows noninvasive real-time visualization of the extrahepatic biliary tree. This novel technique has received positive feedback in its initial Canadian use and will likely be a durable adjunct for minimally invasive surgery.
背景
胆管损伤仍然是腹腔镜胆囊切除术令人担忧的并发症。吲哚菁绿（ICG）荧光胆管造影术（FC）是一种有助于术中实时识别胆道解剖结构的新方法。希望这项技术能提高胆囊三角内解剖操作的安全性。
方法
记录了涉及ICG的择期胆囊切除术病例的人口统计学数据、术中细节和外科医生的主观数据。目标是确定胆管识别率，并评估该设备的感知益处。
结果
在加拿大，12例胆管病例使用了ICG。胆囊管和胆总管的可视化率分别为100%和83%。此外，83%的外科医生认为FC能顺利融入手术。尚未有与该技术相关的并发症。
结论
FC可对肝外胆管树进行无创实时可视化。这项新技术在加拿大的首次应用中获得了积极反馈，可能会成为微创手术的持久辅助手段。
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