腹腔镜下再次行尼森胃底折叠术时的荧光引导手术（FGS）：首例儿童病例
Fluorescence-Guided Surgery (FGS) during a Laparoscopic Redo Nissen Fundoplication: The First Case in Children.
作者信息
Paraboschi Irene, Privitera Laura, Loukogeorgakis Stavros, Giuliani Stefano
机构信息
Wellcome/EPSRC Centre for Interventional & Surgical Sciences, University College London, London WC1E 6BT, UK.
Department of Specialist Neonatal and Paediatric Surgery, Great Ormond Street Hospital for Children NHS Foundation Trust, London WC1N 3JH, UK.
出版信息
Children (Basel). 2022 Jun 24;9(7):947. doi: 10.3390/children9070947.
We present the first case of fluorescence-guided surgery (FGS) using indocyanine green (ICG) in a pediatric redo-Nissen fundoplication. The patient is a 17-year-old male with recurrent gastroesophageal symptoms who underwent primary antireflux surgery at 10 months of age. During the redo fundoplication, ICG was intravenously administered to help the visualization during the adhesiolysis between liver, stomach and right crus of the diaphragm and to spare small oesophageal vessels and the left gastric artery. In this case, FGS made the surgery easier than usual and likely reduced the risk of intra-operative complications. Therefore, we believe that this new technology should be regularly used in these types of complex intra-abdominal redo operations.
我们报告了第一例在小儿复发性尼森胃底折叠术中使用吲哚菁绿（ICG）进行荧光引导手术（FGS）的病例。该患者为一名17岁男性，有复发性胃食管症状，10个月大时接受了初次抗反流手术。在再次进行胃底折叠术时，静脉注射ICG以帮助在肝脏、胃和膈右脚之间的粘连松解过程中进行可视化，并避免损伤小的食管血管和胃左动脉。在本病例中，FGS使手术比平常更容易，并可能降低了术中并发症的风险。因此，我们认为这项新技术应常规用于这类复杂的腹腔内再次手术。
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