Tsutsui Nobuhiro, Yoshida Masashi, Ito Eisaku, Ohdaira Hironori, Kitajima Masaki, Suzuki Yutaka
Department of Surgery, International University of Health and Welfare Hospital, 537-3, Iguchi, Nasushiobara-city, Tochigi, 329-2763, Japan.
Ann Med Surg (Lond). 2018 Sep 21;35:146-148. doi: 10.1016/j.amsu.2018.09.019. eCollection 2018 Nov.
We report on a laparoscopic cholecystectomy (LC) for acute cholecystitis (AC) using the bright field/full-color fluorescence laparoscope system PINPOINT (Novadaq, Mississauga, ON, Canada). The patient was an 85-year-old man who was diagnosed with moderate AC. Indocyanine green (ICG) was administered just before surgery, and we used only PINPOINT to perform the LC. The advantage of this procedure is that it can be performed while viewing ICG fluorescence in the cystic duct. Since the gallbladder is imaged with this technique, it is also advantageous from the perspective of deciding at which layer to detach the gallbladder from the liver. The operative time was 81 minutes, and blood loss was 5 ml. There were no perioperative complications, and the patient was discharged on post-operative day 6.
我们报告了一例使用明场/全彩荧光腹腔镜系统PINPOINT（加拿大安大略省密西沙加市的Novadaq公司生产）进行的急性胆囊炎（AC）腹腔镜胆囊切除术（LC）。患者为一名85岁男性，被诊断为中度AC。手术前即刻注射了吲哚菁绿（ICG），并且我们仅使用PINPOINT进行LC。该手术的优点在于可以在观察胆囊管内ICG荧光的同时进行操作。由于采用该技术可对胆囊进行成像，从决定在肝脏的哪一层分离胆囊的角度来看也具有优势。手术时间为81分钟，失血量为5毫升。围手术期无并发症，患者于术后第6天出院。
