Yuan Miaoxian,Yin Qiang,Ji Chunyi,et al.Application of three-dimensional computed tomography reconstruction plus indocyanine green fluorescent staining technique in radical laparoscopy for congenital biliary dilatation[J].Journal of Clinical Pediatric Surgery,,19():614-618.[doi:10.3969/j.issn.1671-6353.2020.07.010]
Application of three-dimensional computed tomography reconstruction plus indocyanine green fluorescent staining technique in radical laparoscopy for congenital biliary dilatation
- Keywords:
- Choledochal Dilatation/SU; Choledochal Dilatation/CN; Imaging; Three-Dimensional; ICG Fluorescence Staining
- CLC:
- R657.4;R445;R615
- Abstract:
- Objective To explore the application value of three-dimensional computed tomography (CT) reconstruction plus indocyanine green (ICG) fluorescent staining during radical laparoscopy of congenital cholangiectasia (CHD).Methods From August 2019 to November 2019,clinical data were retrospectively analyzed for 10 CHD children.And degree of conformity,operative duration,intraoperative bleeding volume,hospitalization stay and complications were observed.Results All CHD cases successfully completed radical laparoscopy under the guidance of three-dimensional CT reconstruction plus ICG fluorescent staining.The coincidence rate between preoperative operative plan and actual protocol was 100%;the average operative duration 183.4 min,the intraoperative bleeding volume 10-35 ml and the average hospitalization stay 10.7 days.One case of bile leakage was treated timely.There were no such complications as ICG allergy,anastomotic stenosis,bile leakage,pancreatic leakage,cholangitis or pancreatitis.Conclusion Three-dimensional CT reconstruction plus ICG fluorescent staining may distinctly delineate the location of dilated bile duct and depict its anatomical relationship with adjacent tissues.With heightened operative security,it is worthy of wider clinical applications.
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Memo
收稿日期:2019-05-18。
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