Ji Chunyi,Yin Qiang,Yuan Miaoxian,et al.Application of indocyanine green fluorescent imaging for laparoscopy of intestinal diaphragm[J].Journal of Clinical Pediatric Surgery,,20():911-915.[doi:10.12260/lcxewkzz.2021.10.003]
Application of indocyanine green fluorescent imaging for laparoscopy of intestinal diaphragm
- Keywords:
- Fluorescent Dyes; Indocyanine Green; Diagnostic Imaging; Laparoscopy; Intestinal Diaphragm; Child
- CLC:
- R917.76;R726.556;R726.1;R445.9
- Abstract:
- Objective To explore the value of application of precise surgical navigation of indocyanine green (ICG) fluorescent imaging for improving the safety and effectiveness of surgery for congenital gastrointestinal malformation of intestinal diaphragm.Methods From May 2018 to December 2020, ICG molecular fluorescent imaging was applied for 10 patients with intestinal diaphragm disease.Intraoperative transgastric tube dosing was adpoted.After injecting ICG into a gastric tube with 2.5 mg/20 mL ICG diluent at a dose of 0.5 mg/kg, ICG molecular fluorescent imaging was performed for real-time positioning and guidance of intestinal diaphragm.Upon a completion of anastomosis, ICG molecular fluorescent detection was performed on the anastomosis for assisting in detecting possible leakages.Results With an aid of ICG molecular fluorescent imaging, intestinal diaphragms were precisely positioned during real-time operations.One intestinal anastomotic leakage was detected during operation.After repairing in time, original intestinal anastomotic leakage was plugged without fluorescent accumulation and no intestinal leakage occurred postoperatively.Conclusion ICG molecular fluorescent imaging may locate intestinal diaphragm in a real-time operation and detect anastomotic leakage with a high sensitivity.This technology has a certain practical value of surgical navigation for children with congenital gastrointestinal malformations as it enhances the safety and effectiveness of operations.
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Memo
收稿日期:2021-04-19。
基金项目:湖南省卫健委重点专科建设技术创新项目（编号：湘卫医政医管处函[2018]187号）
通讯作者:尹强,Email:qiangyin@hotmail.com