Servicio de Cirugía General y Digestiva, Hospital HM Delfos, Barcelona, Spain.
Servicio de Cirugía General y Digestiva, Hospital HM Delfos, Barcelona, Spain.
Cir Esp (Engl Ed). 2021 Nov;99(9):678-682. doi: 10.1016/j.cireng.2021.09.001. Epub 2021 Oct 11.
Bile duct injury is one of the most severe complications after cholecystectomy. The aim of this study is to demonstrate how with a simple technique, an optimal critical view may be achieved by injecting indocyanine green directly into the gallbladder.
Twenty-three patients were prospectively studied in which direct gallbladder injection of indocyanine green during laparoscopy was administered with a fine needle using an easily reproducible technique.
Biliary tree identification was reported before and after injection. Critical view of safety was achieved in all cases.
Our technique of direct gallbladder injection of indocyanine green is simple, efficient and shows a real time fluorescent cholangiography and an optimal critical view of safety decreasing the risk for bile duct injury.
胆管损伤是胆囊切除术后最严重的并发症之一。本研究旨在展示如何通过一种简单的技术，通过直接向胆囊内注射吲哚菁绿来实现最佳的关键视野。
前瞻性研究了 23 例患者，在腹腔镜下使用细针通过一种易于复制的技术向胆囊内直接注射吲哚菁绿。
报告了注射前后胆管的识别情况。所有病例均达到安全关键视野。
我们的直接向胆囊内注射吲哚菁绿的技术简单、高效，可实时荧光胆管造影，并可实现最佳的安全关键视野，降低胆管损伤的风险。
