The role of indocyanine green fluorescence imaging in laparoscopic partial splenectomy
10.3760/cma.j.cn113884-20200731-00409
- VernacularTitle:吲哚菁绿荧光成像技术在四例腹腔镜脾部分切除术中的应用
- Author:
Teng ZHANG
;
Wei HAN
;
Zuojun LIU
;
Zhangdong FENG
;
Xu NIU
;
Haitao SUN
;
Feng QIU
;
Tianchi YANG
;
Yu JI
- From:
Chinese Journal of Hepatobiliary Surgery
2021;27(5):367-370
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To study the role of indocyanine green(ICG)fluorescence imaging in laparoscopic partial splenectomy (LPS).Methods:The data of 4 patients who underwent ICG fluorescence imaging technology for LPS at Beijing Luhe Hospital Affiliated to Capital Medical University from May 2017 to May 2020 were retrospectively analyzed. There were 3 females and 1 male, aged 46, 41, 27 and 12 years respectively. The extents of spleen preservation were compared between ICG fluorescence imaging with ordinary white light during operation. The residual splenic remnants were tested with fluorescence imaging after splenectomy, which showed fluorescence fading indicating good vascular perfusion.Results:ICG fluorescence imaging was performed on 4 patients. The operation time ranged from 180.0 to 250.0 min, and the intraoperative blood loss ranged from 40.0 to 200.0 ml. The postoperative hospital stay ranged from 4 to 14 days. There were no serious complications. Postoperative histopathology showed: splenic cyst ( n=1), splenic hemangioma ( n=2), and splenic laceration ( n=1). Conclusions:ICG fluorescence imaging technology had a significant role to play in partial splenectomy. This study showed this technique to improve safety of laparoscopic partial splenectomy.
