吲哚菁绿荧光胆管造影在复杂性腹腔镜胆囊切除术中有效性及安全性的meta 分析

Abstract
Figure/Table
References (34)
Related Citation (15)

Download: PDF (1736 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To compare the efficacy and safety of indocyanine green (ICG) fluorescence cholangiography combined with laparoscopic cholecystectomy (LC)and conventional LC in the treatment of complicated LC.Methods Through the retrieval database,studies comparing the efficacy of ICG fluorescence cholangiography LC test group and conventional LC control group in complex LC from 2018 to 2022 were retrieved.After the quality of the included literature was evaluated and the relevant research data were extracted,RevMan Manager 5.4 was used for meta-analysis.Results A total of 14 articles were included in this study,including 1 116 cases.The analysis showed that compared with the conventional LC treatment group,the ICG combined LC group had shorter operation time(MD=-24.37,95%CI:-32.87 to-15.86)and less intraoperative blood loss(MD=-11.36,95%CI:-15.34 to-7.37),shorter time to recognize biliary structure(MD=-16.79,95%CI:-31.00 to-2.58),shorter postoperative hospital stay (MD=-0.61,95%CI:-1.13 to-0.09),shorter recovery time of anal exhaust function(MD=-2.61,95%CI:-5.40 to-0.17),lower total incidence of postoperative complications(OR=0.57,95%CI:0.16 to-0.44),and less hospitalization costs(MD=-1 549.69,95%CI:-2 647.34 to-452.04).There were no significant differences in postoperative drainage tube removal time and intraoperative conversion rate between the two groups (P＞0.05).Conclusion ICG cholangiography is safe and effective in LC for complex gallbladder diseases,which can reduce the risk of bile duct injury.

Key words： Cholecystectomy Laparoscopy Indocyanine green Meta-analysis

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors

Cite this article:

URL:

https://www.dangdaiyiyao.com/EN/ OR https://www.dangdaiyiyao.com/EN/Y2024/V31/I11/14

[1]	Pucher PH，Brunt LM，Davies N，et al.Outcome trends and safety measures after 30 years of laparoscopic cholecystectomy：a systematic review and pooled data analysis[J].Surg Endosc，2018，32（5）：2175-2183.
[2]	孙登群，梁久银，吴浩荣，等.腹腔镜胆囊切除术致严重并发症的分布及危险因素分析—单中心71238 例临床资料总结[J].肝胆外科杂志，2012，20（1）：20-22.
[3]	Ary Wibowo A，Tri Joko Putra O，Noor Helmi Z，et al.A Scoring System to Predict Difficult Laparoscopic Cholecystectomy：A Five-Year Cross-Sectional Study[J].Minim Invasive Surg，2022：3530568.
[4]	陈志，周荣华，朱任飞，等.吲哚菁绿荧光成像技术在腹腔镜困难型胆囊切除术中的应用研究[J].重庆医学，2022，51（17）：2984-2987，2992.
[5]	Ishizawa T，Tamura S，Masuda K，et al.Intraoperative fluorescent cholangiography using indocyanine green：a biliary road map for safe surgery[J].J Am Coll Surg，2009，208（1）：e1-e4.
[6]	Ishizawa T，Bandai Y，Kokudo N.Fluorescent cholangiography using indocyanine green for laparoscopic cholecystectomy：an initial experience[J].Arch Surg，2009，144（4）：381-382.
[7]	张树庚，刘连新.吲哚菁绿荧光融合影像引导技术在腹腔镜肝切除中的应用及展望[J].中华肝胆外科杂志，2019，25（2）：129-131.
[8]	刘养岁，张昕辉，李正臣，等.荧光胆道显影在腹腔镜复杂胆囊切除术中的应用[J].中国现代医学杂志，2021，31（7）：69-73.
[9]	华海峰，丁咪.吲哚菁绿在腹腔镜胆囊切除术中预防胆总管损伤的应用价值分析[J].微创医学，2020，15（6）：810-812.
[10]	冯其柱，王思雨，张超.吲哚菁绿荧光显影在困难胆囊腹腔镜胆囊切除术中的应用价值[J].临床肝胆病杂志，2022，38（11）：2537-2541.
[11]	彭沙沙，夏国兵，卢奇.吲哚菁绿荧光导航在复杂腹腔镜胆囊切除术中的应用[J].国际外科学杂志，2021，48（1）：19-23.
[12]	杜金柱，高才植，高允海.吲哚菁绿荧光显像在复杂腹腔镜胆囊切除术中的初步应用观察[J].中华肝胆外科杂志，2020，26（8）：595-599.
[13]	马晨辉.吲吲哚菁绿胆道造影术在腹腔镜胆囊切除+胆总管切开取石术中的临床应用研究[D].唐山：华北理工大学，2021.
[14]	倪忠鹏，张昕辉，刘养岁.吲哚菁绿荧光染色技术在腹腔镜胆囊切除术中的价值分析[J].腹部外科，2020，33（3）：212-217.
[15]	段鸿皓.吲哚菁绿荧光腹腔镜技术在困难胆囊切除中的临床应用[D].昆明：昆明医科大学，2020.
[16]	王云丰，寸冬云，黄洁，等.吲哚菁绿荧光导航在治疗Ⅰ型Mirizzi 综合征腹腔镜胆囊切除术中的运用[J].中国普通外科杂志，2022，31（8）：1031-1038.
[17]	陈志，周荣华，朱任飞，等.吲哚菁绿荧光成像技术在腹腔镜困难型胆囊切除术中的应用研究[J].重庆医学，2022，51（17）：2984-2987，2992.
[18]	符庆胜，金雷，李涛，等.术中静脉注射吲哚菁绿在慢性萎缩性胆囊炎腔镜手术中的应用[J].国际外科学杂志，2022，49（1）：5-10，F3.
[19]	汪聪，吴硕东，吴晓东，等.胆道引流术后荧光腹腔镜手术治疗胆囊结石的临床疗效[J].中国普通外科杂志，2022，31（2）：152-159.