Laparoscopic dome resection for pediatric nonparasitic huge splenic cyst safely performed using indocyanine green fluorescence and percutaneous needle grasper
Laparoscopic dome resection for pediatric nonparasitic huge splenic cyst safely performed using indocyanine green fluorescence and percutaneous needle grasper
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使用吲哚菁绿荧光和经皮抓针器安全地进行腹腔镜圆顶切除术治疗儿童非寄生性巨大脾囊肿
DOI：
10.1111/ases.13052
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发表时间：
2022
影响因子：
1
通讯作者：
Ieiri Satoshi
中科院分区：
文献类型：
--
作者：
Masuya Ryuta;Nakame Kazuhiko;Tahira Kosei;Kai Kengo;Hamada Takeomi;Yano Koichi;Imamura Naoya;Hiyoshi Masahide;Nanashima Atsushi;Ieiri Satoshi
前言近年来，保留脾脏免疫功能的穹隆切除术已成为治疗脾囊肿的主要方法。我们在此报告一个使用针形抓钳和吲哚菁绿色（ICG）荧光对一个巨大的非寄生虫性脾囊肿进行圆顶切除的儿科患者的手术技术。患者和手术技术一个13岁的女孩在脊柱侧凸随访期间偶然被诊断为脾囊肿。腹部增强计算机断层扫描（CT）显示一个17 × 14 × 14 cm的单灶性囊肿。计划进行腹腔镜圆顶切除术。术中发现脾脏肿胀，但脾脏表面薄囊壁无明显突出。ICG荧光照相机覆盖显示变薄区域的着色较差。我们刺穿了这个区域并吸出了囊肿的内容物。我们用经皮针抓持器抓住囊壁，并用血管闭合系统剥离囊壁。我们在剥离线放置抗粘连剂以防止复发。讨论ICG荧光可用于识别脾囊肿的变薄区域。使用经皮针抓紧器有助于对一名儿科患者的巨大脾囊肿进行圆顶切除术，具有微创性和改善的美容效果。
IntroductionIn recent years, dome resection, which preserves the splenic immunological function, has been the primary technique used to treat splenic cysts. We herein report a surgical technique using a needle grasper and indocyanine green (ICG) fluorescence to perform dome resection of a huge nonparasitic splenic cyst in a pediatric patient.Patient and Surgical TechniqueA 13‐year‐old girl was incidentally diagnosed with a splenic cyst during follow‐up for scoliosis. Abdominal enhanced computed tomography (CT) showed a 17 × 14 × 14 cm unifocal cyst. Laparoscopic dome resection was planned. The intraoperative findings showed that the spleen was distended, but there was no apparent prominence of the thin cyst wall on the surface of the spleen. An ICG fluorescence camera overlay revealed poor coloration in the thinning area. We punctured the area and aspirated the cyst contents. We grasped the cyst wall with a percutaneous needle grasper and dissected the cyst wall with a vessel sealing system. We placed anti‐adhesion agent at the dissection line to prevent recurrence.DiscussionICG fluorescence was useful for identifying the thinning area of a splenic cyst. The use of a percutaneous needle grasper facilitated the performance of dome resection of a huge splenic cyst in a pediatric patient with minimal invasiveness and an improved cosmetic outcome.
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影响因子：
2.2
作者：
Hassoun, Jenine;Ortega, Gezzer;Qureshi, Faisal G.
通讯作者：
Qureshi, Faisal G.
影响因子：
0.4
作者：
H. Gezer;P. Oğuzkurt;A. Temiz;E. İnce;S. Ezer;N. Koçer;Ş. Demir;A. Hiçsönmez
通讯作者：
A. Hiçsönmez
DOI：
10.1089/lap.2021.0232
发表时间：
2021-11-09
影响因子：
1.3
作者：
Babala，Jozef;Prato，Alessio Pini;Beder，Igor
通讯作者：
Beder，Igor
影响因子：
0.8
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
通讯作者：
Hirano S
急诊腹腔镜圆顶切除术和大网膜缝合脾实质边缘治疗儿童患者自发破裂的非寄生性大脾囊肿：病例报告
DOI：
10.1186/s40792-019-0750-2
发表时间：
2019
期刊：
Surgery Case Reports
影响因子：
--
作者：
K. Shono;Yoshiko Hashimoto;T. Shono
通讯作者：
T. Shono