Comparison of the effect of indocyanine green injection through peripheral vein and gallbladder in laparo-scopic cholecystectomy of difficult gallbladder
10.3969/j.issn.1006-5725.2024.11.012
- VernacularTitle:经外周静脉和胆囊注射吲哚菁绿在腹腔镜困难胆囊切除术中应用效果对比
- Author:
Qizhu FENG
1
,
2
;
Zhe XU
;
Jie SUN
;
Jiaquan ZHANG
;
Sheng DING
;
Jian ZHANG
;
Qi WANG
;
Chao ZHANG
Author Information
1. 安徽医科大学第一附属医院肝胆外科(合肥 230022)
2. 安徽理工大学大学第一附属医院肝胆外科(安徽淮南 232001)
- Keywords:
cholecystectomy;
laparoscopic;
indocyanine green;
bile ducts;
postoperative com-plications
- From:
The Journal of Practical Medicine
2024;40(11):1537-1541,1548
- CountryChina
- Language:Chinese
-
Abstract:
Objective The aim of this study was to compare the effect of injection of indocyanine green(ICG)through peripheral vein and gallbladder in laparoscopic cholecystectomy(LC)of difficult gallbladder.Methods Patients with difficult gallbladder who underwent LC by the same surgical team from May to October 2023 in the Department of Hepatobiliary Surgery,the First Affiliated Hospital of Anhui University of Science and Technology were divided into three groups according to A random number table.Group A was injected ICG through peripheral vein before operation,group B was injected ICG through gallbladder during operation,and group C was the control group.The differences of operation time,intraoperative blood loss,hospitalization time,hospitalization cost and postoperative complications among the three groups were compared,and the effects of fluorescence mode cholangio-gram in group A and group B were compared.One-way analysis of variance was used to compare the normal distri-bution of the measurement data among groups,and LSD-t test was used to compare the two groups.The counting data was compared by chi-square test.The Boferroni test was appied to compare the two groups.Results There were no differences in length of stay,hospitalization cost and postoperative complications among the three groups(P＞0.05).The operative time and intraoperative blood loss of group A and group B were lower than those of group C(P＜0.05),but there was no difference between group A and group B(P＞0.05).The total imaging rate of the first three tubes of free gallbladder triangle(early stage)in group A was 41.67%,which was significantly lower than that in group B(63.89%)(P＜0.05).Conclusion ICG is beneficial for the identification of extrahepatic bile duct structures during LC of difficult gallbladder,and ICG injection through the gallbladder is helpful for the early identification of extrahepatic bile duct.
