Laparoscopic real-time vessel navigation using indocyanine green fluorescence during the laparoscopic-Warshaw technique: First clinical experience.
Laparoscopic real-time vessel navigation using indocyanine green fluorescence during the laparoscopic-Warshaw technique: First clinical experience.
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DOI：
10.4103/jmas.jmas_161_20
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发表时间：
2021-04
影响因子：
0.8
通讯作者：
Hirano S
中科院分区：
文献类型：
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作者：
Ebihara Y;Noji T;Tanaka K;Nakanishi Y;Asano T;Kurashima Y;Murakami S;Nakamura T;Tsuchikawa T;Okamura K;Shichinohe T;Hirano S
腹腔镜Warshaw技术（lap-WT）可作为胰腺尾部恶性边缘病变的功能保留手术。然而，先前的报告显示，有并发症，如感染和脓肿形成，由于缺乏血液流动的脾脏手术后。为了克服这些问题，我们在lap-WT期间使用吲哚菁绿色（ICG）荧光进行了实时血管导航。我们报告了2017年5月至2018年9月在北海道大学进行lap-WT期间接受实时血管导航的3例胰腺肿瘤患者的经验。中位手术时间为339 min（174-420）。术中出血中位数为150 ml（0-480）。无并发症发生。无一例术后脾缺血或脓肿形成和静脉曲张形成。我们认为，腹腔镜下实时血管导航使用吲哚菁绿色荧光在腹腔镜-WT可能有助于减少术后脾脏相关并发症。
Laparoscopic-Warshaw technique (lap-WT) may be selected as a function-preserving operation for malignant border lesions in the tail region of the pancreas. However, previous reports showed that there are complications such as infection and abscess formation due to lack of blood flow to the spleen after surgery. To overcome the problems, we have performed real-time vessel navigation by using indocyanine green (ICG) fluorescence during lap-WT. We report our experience of three patients with pancreatic tumour who underwent real-time vessel navigation during lap-WT at Hokkaido University from May 2017 to September 2018. The median operating time was 339 min (174–420). The median intraoperative bleeding was 150 ml (0–480). There were no incidences of complications. There were no cases with post-operative spleen ischaemia or abscess formation and varices formation. We believe that laparoscopic real-time vessel navigation using indocyanine green fluorescence during lap-WT could contribute in reducing the post-operative spleen-related complications.