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你能走多低?你能走多低? 在腹腔镜胆固醇切除术期间,用于光胆固醇造血镜的内科绿色氨酸的内科微剂量

Ryan C Broderick¹, Graham J Spurzem², Ana Garcia Cabrera¹

¹Department of Surgery, Division of Minimally Invasive Surgery, University of California San Diego, 9300 Campus Point Dr., La Jolla, San Diego, CA, 92037, USA.

Surgical endoscopy

|August 11, 2025

概括

低剂量,使用氨酸绿 (ICG) 的手术内光胆道血管学 (FC) 协议在腹腔镜胆囊切除术 (LC) 期间提供了胆道解剖学的优秀可视化. 这种微剂量方法通过消除手术前ICG管理的需要来简化工作流程.

科学领域:

手术创新在外科创新.
医疗成像医学成像
胆道手术胆道手术

背景情况:

光胆血管学 (FC) 与绿色 (ICG) 有助于在腹腔镜胆囊切除术 (LC) 期间胆道解剖学的手术内可视化.
对于LC的最佳ICG剂量和时间仍在争论中.
开发了一个"微剂量"ICG协议,以简化外科手术期间的工作流程.

研究的目的:

实施和评估LC的低剂量,手术内ICG协议.
为了比较微剂量ICG与标准剂量ICG用于胆道可视化的疗效.
评估对操作工作流程和临床决策的影响.

主要方法:

100例腹腔镜胆囊切除术 (LC) 病例 (50微剂量,50标准剂量) 的回顾性审查.
微剂量组在麻醉诱导后静脉注射0.5毫克ICG.
标准剂量组在手术前60-120分钟接受7.5毫克ICG.
胆管结构可视化 (囊囊管,普通胆管,普通肝管) 和ICG信号特征通过手术视频审查和外科医生调查进行评估.

主要成果:

在微剂量 (86.0%) 和标准剂量 (88.0%) 组 (p=0.99) 中,囊性管道可视化率相似.
在这两组人群中,常见胆管和常见肝管的可视化在所有情况下都发生.
两种方案之间在ICG信号强度,清晰度或临床决策的有用性方面没有发现显著差异.

结论:

在手术内给予ICG微剂量,在LC期间提供了优秀的胆道可视化.
这种方法简化了手术工作流程,消除了手术前ICG管理的需要.
微剂量协议是一种可行的替代标准剂量ICG的LC.

关键词:

光胆血管学是一种光胆血管学.印度氨酸绿色是绿色的 laparoscopic 胆囊切除术是用拉皮镜进行的.微剂量微剂量微创手术是最少的侵入性手术.

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