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ISSN 1001-5256 (Print)
ISSN 2097-3497 (Online)
CN 22-1108/R
Volume 38 Issue 11
Nov.  2022
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Article Navigation >  Journal of Clinical Hepatology  > 2022  >  38(11): 2537-2541

Application value of indocyanine green fluorescence imaging in laparoscopic cholecystectomy of difficult gallbladder

DOI: 10.3969/j.issn.1001-5256.2022.11.019
  • 1.

    Department of General Surgery, First Affiliated Hospital of Anhui Medical University, Hefei 230001, China

  • 2.

    Department of General Surgery, First Affiliated Hospital of Anhui University of Science and Technology, Huainan, Anhui 232007, China

Research funding:

Natural Science Foundation of Anhui Universities (KJ2021A0439)

More Information
  • Corresponding author: ZHANG Chao, zhangchaolove88@163.com(ORCID: 0000-0002-2518-7209)
  • Received Date: 2022-04-04
  • Accepted Date: 2022-05-21
  • Published Date: 2022-11-20
    Abstract
  •   Objective  To investigate the clinical utility of indocyanine green (ICG) fluorescence imaging in difficult laparoscopic cholecystectomy (LC).  Methods  The clinical data of LC patients from October 2021 to December 2021 in the First Affiliated Hospital of Anhui Medical University were retrospectively analyzed. Based on whether ICG fluorescence imaging was used and whether gallbladder difficulties were detected, the patients were divided into four groups: ICG common gallbladder (Group A), ICG difficult gallbladder (Group B), common gallbladder (Group C), and difficult gallbladder (Group D). The operative time, intraoperative bleeding, length of hospital stay, hospitalization cost and postoperative complications were compared. Comparison of normally distributed continuous data between groups was performed by t test. Comparison of categorical data between groups was performed using the chi-square test or Fisher's exact probability method.  Results  The operative time, intraoperative bleeding, length of hospital stay, hospitalization cost and intraoperative complications in group A were comparable to those in Group C (all P > 0.05). The operative time and intraoperative bleeding were (75.41±12.96) min and (18.27±6.97) mL in group B, vs (106.78±19.21) min and (23.99±8.43) mL in group D, respectively, and the differences were statistically significant (all P < 0.05), while the length of hospitalization, hospitalization cost and postoperative complications in group B were comparable to those in group D (all P > 0.05).  Conclusion  The benefits of ICG fluorescence imaging during LC in patients with the common gallbladder are not obvious. However, in difficult gallbladder cases, ICG fluorescence imaging can improve biliary tract exposure and reduce operation time and intraoperative bleeding.

     

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