ICG荧光导航在腹腔镜胆囊切除术中应用的关键问题探讨

Key problems of applying ICG fluorescence navigation in laparoscopic cholecystectomy

腹腔镜胆囊切除术(LC)作为常见的普通外科手术之一,其手术操作技术已相当成熟,对于经验丰富的外科医师,常规LC已不具备太大难度,但胆道损伤仍不能完全避免。利用ICG荧光导航LC作为一项新技术,区别于传统临界安全观和术中胆道造影等安全措施,可以更好地识别胆道系统结构,从而减少医源性胆道损伤发生。本文结合国内外相关文献报道及笔者团队经验,分析ICG荧光导航LC研究进展中尚未达成共识的差异性研究,以期为未来该项技术的成熟开展提供参考。

Laparoscopic cholecystectomy(LC),as one of routine surgeries of general surgery,isa highly mature procedure.For experienced surgeons,conventional LC is not a demanding procedure.However,bile duct injury cannot be completely avoided.As a novel procedure,ICG fluorescence navigation LC,different from traditional critical view of safety and intraoperative cholangiography and alternative safety measures,can better identify the structures of biliary system and thus lower the incidence of iatrogenic injury of biliary tract.In this article,based on relevant literature review at home and abroad and clinical experience of our team,the differential researches of ICG fluorescence navigation LC were analyzed,aiming to provide reference for mature development of this procedure in the future.