Vu Van Quang, Le Van Thanh, Nguyen Hoang Ngoc Anh, Dang Kim Khue, Luong Mong Vu Anh
Department of Hepato-Biliary-Pancreatic Surgery and Liver Transplant, The 108 Military Central Hospital, Hanoi, Vietnam.
College of Health Sciences, VinUniversity, Hanoi, Vietnam.
Ann Med Surg (Lond). 2023 Feb 17;85(3):402-406. doi: 10.1097/MS9.0000000000000261. eCollection 2023 Mar.
Evaluating the results of laparoscopic cholecystectomy (LC) using indocyanine green (ICG) fluorescence.
This is a cross-sectional study of patients with LC using real-time fluorescent ICG to treat gallbladder disease from May 2021 to May 2022 in the 108 Military Central Hospital.
There were 68 patients who underwent LC using intraoperative ICG fluorescence for bile duct visualization. The mean age of the patients was 55.4±16.2, and the male/female ratio was 1.52. Chronic cholecystitis caused by stones accounted for the majority (51.47%). The authors detected 7.35% of cases with anatomical changes of the extrahepatic biliary tract using ICG fluorescence and clearly identified the anatomy of the common bile duct and the cystic duct at 100 and 92.65%, respectively. The average surgical time was 42.8±14.6 min. There were no postoperative complications or side effects from ICG; the average hospital stay was 2.8±1.5 days.
ICG fluorescence cholangiography allows surgeons to easily identify critical anatomical landmarks in the LC. Thereby helping the surgery to be performed safely, avoiding severe complications due to damage to the biliary tract.
使用吲哚菁绿（ICG）荧光评估腹腔镜胆囊切除术（LC）的结果。
这是一项对2021年5月至2022年5月在第108中心医院接受实时荧光ICG治疗胆囊疾病的LC患者的横断面研究。
68例患者接受了术中使用ICG荧光进行胆管可视化的LC手术。患者的平均年龄为55.4±16.2岁，男女比例为1.52。结石引起的慢性胆囊炎占大多数（51.47%）。作者使用ICG荧光检测到7.35%的肝外胆道解剖结构改变病例，并分别以100%和92.65%的准确率清晰识别了胆总管和胆囊管的解剖结构。平均手术时间为42.8±14.6分钟。ICG术后无并发症或副作用；平均住院时间为2.8±1.5天。
ICG荧光胆管造影术使外科医生能够在LC手术中轻松识别关键的解剖标志。从而有助于安全地进行手术，避免因胆道损伤而导致的严重并发症。
