Clinical value of indocyanine green fluorescence navigation in single-incision laparoscopic cholecystectomy
10.7659/j.issn.1005-6947.250162
- VernacularTitle:吲哚菁绿荧光导航在单孔腹腔镜胆囊切除术中的临床应用价值
- Author:
Xiaodong WANG
1
;
Kai ZHANG
1
;
Xing WANG
1
;
Long REN
1
;
Kaihang SHI
1
;
Tao JIN
1
;
Zhenwei SHEN
1
;
Kai LI
1
Author Information
1. 江苏大学附属宜兴医院肝胆胰外科,江苏宜兴 214000
- Publication Type:Journal Article
- Keywords:
Cholecystectomy,Laparoscopic;
Indocyanine Green;
Cholecystolithiasis;
Cholecystitis
- From:
Chinese Journal of General Surgery
2025;34(8):1718-1725
- CountryChina
- Language:Chinese
-
Abstract:
Background and Aims:Single-incision laparoscopic cholecystectomy(LC)has become increasingly popular due to its minimal invasiveness and cosmetic advantages,but challenges remain in biliary identification and limited operative space.Indocyanine green(ICG)fluorescence navigation enables real-time visualization of the biliary tract and may enhance surgical safety and efficiency.This study aimed to evaluate the clinical application value of ICG fluorescence navigation in single-incision LC.Methods:A retrospective analysis was conducted on 59 patients with benign gallbladder diseases who underwent elective single-incision LC at Yixing Hospital affiliated to Jiangsu University from January 2023 to December 2024.Patients were divided into a fluorescence group(n=27)and a white-light group(n=32)according to whether ICG fluorescence navigation was applied.The two groups were compared in terms of Calot's triangle dissection time,operative time,intraoperative blood loss,surgeon satisfaction,hospital stay,and postoperative complications.Results:No significant differences were observed in baseline clinical characteristics between the two groups(all P＞0.05).In the fluorescence group,the cystic duct,common hepatic duct,and common bile duct were all successfully visualized.Compared with the white-light group,the fluorescence group had significantly shorter Calot's triangle dissection time[(25.56±3.49)min vs.(38.81±5.59)min],shorter operative time[(44.67±3.06)min vs.(61.31±4.96)min],and less intraoperative blood loss[(13.44±1.70)mL vs.(14.50±2.11)mL](all P＜0.05),with significantly higher surgeon satisfaction(P＜0.05).No intraoperative bile duct injury,conversion to three-port surgery,or postoperative complications occurred in either group.Conclusion:ICG fluorescence navigation can significantly improve biliary identification efficiency in single-incision LC,shorten operative time,reduce blood loss,and enhance surgeon satisfaction,demonstrating promising clinical application prospects.
