Using indocyanine green fluorescence in laparoscopic surgery to identify and preserve rare branching of the right hepatic artery in pediatric congenital biliary dilatation
Using indocyanine green fluorescence in laparoscopic surgery to identify and preserve rare branching of the right hepatic artery in pediatric congenital biliary dilatation
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在腹腔镜手术中使用吲哚菁绿荧光来识别和保存小儿先天性胆道扩张症中罕见的右肝动脉分支
DOI：
10.1007/s00595-022-02516-5
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发表时间：
2022
期刊：
影响因子：
2.5
通讯作者：
Ieiri Satoshi
中科院分区：
文献类型：
--
作者：
Masuya Ryuta;Matsukubo Makoto;Nakame Kazuhiko;Kai Kengo;Hamada Takeomi;Yano Koichi;Imamura Naoya;Hiyoshi Masahide;Nanashima Atsushi;Ieiri Satoshi
我们描述了一种腹腔镜手术技术，使用吲哚菁绿（ICG）荧光来识别和保存与小儿先天性胆管扩张相关的罕见动脉分支。一名 9 岁女孩被诊断为先天性胆管扩张伴胰胆管连接不良，并出现上腹部疼痛。腹部增强计算机断层扫描（CT）显示，副肝右动脉（aRHA）从胰十二指肠后上动脉（PSPDA）分支，通过扩张的胆总管（CBD）右侧直接流入肝右叶。我们进行了腹腔镜扩张胆管切除术和肝空肠吻合术，静脉注射 ICG，剂量为 0.6 mg/kg。 ICG 荧光叠加模式显示 aRHA 沿着扩张的 CBD 的右侧运行。 aRHA 从 CBD 上解剖下来，没有受伤。吻合完成后，aRHA 的跳动得以保留，证实血流得以维持。
We describe a laparoscopic surgical technique using indocyanine green (ICG) fluorescence to identify and preserve rare arterial branching associated with pediatric congenital biliary dilatation. Congenital biliary dilatation with pancreaticobiliary maljunction was diagnosed in a 9-year-old girl, who presented with upper abdominal pain. Abdominal enhanced computed tomography (CT) showed that the accessory right hepatic artery (aRHA) branched from the posterior superior pancreaticoduodenal artery (PSPDA) and flowed through the right aspect of the dilated common bile duct (CBD) directly into the right lobe of the liver. We performed laparoscopic dilated biliary duct resection and hepaticojejunostomy, administering ICG intravenously, at a dose of 0.6 mg/kg. The ICG fluorescence overlay mode showed an aRHA running along the right side of the dilated CBD. The aRHA was dissected from the CBD without injury. After finishing the anastomosis, the beating of the aRHA was preserved, confirming that blood flow had been maintained.
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DOI：
10.1089/lap.2019.0254
发表时间：
2019-06-14
影响因子：
1.3
作者：
Esposito, Ciro;Corcione, Francesco;Escolino, Maria
通讯作者：
Escolino, Maria
影响因子：
0.6
作者：
Masuya R;Miyoshi K;Nakame K;Nanashima A;Ieiri S
通讯作者：
Ieiri S
影响因子：
3
作者：
Mori, Yasuhisa;Nakata, Kohei;Nakamura, Masafumi
通讯作者：
Nakamura, Masafumi
影响因子：
2.6
作者：
Esposito, Ciro;Settimi, Alessandro;Escolino, Maria
通讯作者：
Escolino, Maria
DOI：
10.1007/s00464-021-08596-7
发表时间：
2021-11
期刊：
Surgical endoscopy
影响因子：
--
作者：
Esposito C;Alberti D;Settimi A;Pecorelli S;Boroni G;Montanaro B;Escolino M
通讯作者：
Escolino M