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使用经皮胆囊造瘘引流注入吲哚菁绿增强胆管结构识别：两例病例报告

Enhancing biliary structure identification using percutaneous cholecystostomy drain delivery of indocyanine green: a glowing two case review.

作者信息

Alexander Peter, Marcucci Vincent, Torres Patricia, Cassidy Jillian, Kipnis Seth, Arumugam Dena

机构信息

Department of Surgery, St. George's University, School of Medicine, St. George'sGrenada.

Department of Surgery, Jersey Shore University Medical Center, 1945 New Jersey 33, Neptune, NJ, United States.

出版信息

J Surg Case Rep. 2024 May 2;2024(5):rjae275. doi: 10.1093/jscr/rjae275. eCollection 2024 May.

DOI:10.1093/jscr/rjae275
PMID:38706473
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11066793/
Abstract

The use of indocyanine green for fluorescent cholangiography in patients with cholecystitis initially treated with percutaneous cholecystostomy drainage catheters was described in this two case series. Two patients underwent robotic assisted cholecystectomy with fluorescent cholangiography and indocyanine green through percutaneous cholecystostomy drainage catheters. The patients were diagnosed with acute cholecystitis. Directed injection of indocyanine green allowed for direct visualization of the biliary system allowing for a safe identification of the critical view of safety. Injection of indocyanine green for fluorescent cholangiography through percutaneous cholecystostomy drainage catheters is reliable to assess the critical view of safety and allows for improved identification of the biliary tree anatomy. Administration of indocyanine green through the percutaneous cholecystostomy drainage catheters avoided background hepatic fluorescence and increased contrast between biliary structures.

摘要

在这个包含两例病例的系列研究中，描述了吲哚菁绿在最初接受经皮胆囊造瘘引流导管治疗的胆囊炎患者荧光胆管造影中的应用。两名患者通过经皮胆囊造瘘引流导管接受了机器人辅助荧光胆管造影和吲哚菁绿注射的胆囊切除术。患者被诊断为急性胆囊炎。直接注射吲哚菁绿可直接观察胆道系统，从而安全地确定安全关键视野。通过经皮胆囊造瘘引流导管注射吲哚菁绿进行荧光胆管造影，对于评估安全关键视野是可靠的，并且有助于更好地识别胆管树解剖结构。通过经皮胆囊造瘘引流导管给予吲哚菁绿可避免肝脏背景荧光，并增加胆道结构之间的对比度。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2dbf/11066793/659a948fcf00/rjae275f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2dbf/11066793/f944ccedc122/rjae275f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2dbf/11066793/85e2f9b4d231/rjae275f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2dbf/11066793/707952759e81/rjae275f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2dbf/11066793/659a948fcf00/rjae275f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2dbf/11066793/f944ccedc122/rjae275f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2dbf/11066793/85e2f9b4d231/rjae275f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2dbf/11066793/707952759e81/rjae275f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2dbf/11066793/659a948fcf00/rjae275f4.jpg

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本文引用的文献

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Surgery. 2022 May;171(5):1168-1176. doi: 10.1016/j.surg.2021.09.027. Epub 2021 Dec 21.
2
Direct gallbladder indocyanine green injection technique to achieve critical view of safety in laparoscopic cholecystectomy.直接胆囊吲哚菁绿注射技术实现腹腔镜胆囊切除术的关键安全观。
Cir Esp (Engl Ed). 2021 Nov;99(9):678-682. doi: 10.1016/j.cireng.2021.09.001. Epub 2021 Oct 11.
3
The Efficacy of Intraoperative Fluorescent Imaging Using Indocyanine Green for Cholangiography During Cholecystectomy and Hepatectomy.
术中使用吲哚菁绿进行荧光成像在胆囊切除术和肝切除术中胆管造影的疗效
Clin Exp Gastroenterol. 2021 Apr 30;14:145-154. doi: 10.2147/CEG.S275985. eCollection 2021.
4
Safe laparoscopic cholecystectomy: A systematic review of bile duct injury prevention.安全的腹腔镜胆囊切除术：预防胆管损伤的系统评价。
Int J Surg. 2018 Dec;60:164-172. doi: 10.1016/j.ijsu.2018.11.006. Epub 2018 Nov 12.
5
A practical guide for the use of indocyanine green and methylene blue in fluorescence-guided abdominal surgery.荧光引导腹部手术中吲哚菁绿和亚甲蓝使用实用指南
J Surg Oncol. 2018 Aug;118(2):283-300. doi: 10.1002/jso.25105. Epub 2018 Jun 24.
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