دورية أكاديمية
أعرض في EDS

Feasibility and educational value of fluorescence cholangiography in laparoscopic cholecystectomy.

التفاصيل البيبلوغرافية
العنوان: Feasibility and educational value of fluorescence cholangiography in laparoscopic cholecystectomy.
المؤلفون: Oiwa T; Department of Digestive and General Surgery, Uonuma Kikan Hospital, Niigata, Japan., Takahashi M; Department of Digestive and General Surgery, Uonuma Kikan Hospital, Niigata, Japan., Hirano K; Department of Digestive and General Surgery, Uonuma Kikan Hospital, Niigata, Japan., Sato Y; Department of Digestive and General Surgery, Uonuma Kikan Hospital, Niigata, Japan.; Uonuma Institute of Community Medicine, Niigata University Medical and Dental Hospital, Niigata, Japan., Sunami E; Department of Digestive and General Surgery, Uonuma Kikan Hospital, Niigata, Japan., Kosugi SI; Department of Digestive and General Surgery, Uonuma Kikan Hospital, Niigata, Japan.; Uonuma Institute of Community Medicine, Niigata University Medical and Dental Hospital, Niigata, Japan.
المصدر: Asian journal of endoscopic surgery [Asian J Endosc Surg] 2021 Oct; Vol. 14 (4), pp. 767-774. Date of Electronic Publication: 2021 Apr 05.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Wiley Blackwell Country of Publication: Japan NLM ID: 101506753 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1758-5910 (Electronic) Linking ISSN: 17585902 NLM ISO Abbreviation: Asian J Endosc Surg Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Japan : Wiley Blackwell
مواضيع طبية MeSH: Cholecystectomy, Laparoscopic*, Cholangiography ; Coloring Agents ; Feasibility Studies ; Fluorescence ; Humans ; Indocyanine Green
مستخلص: Introduction: Near-infrared fluorescence cholangiography during a laparoscopic cholecystectomy has become widely accepted as a useful auxiliary tool to visualize the extrahepatic biliary structures. We investigated the feasibility and educational value of a method with longer interval between the administration of indocyanine green and the imaging of these structures.
Methods: Approximately 18 hours before their surgery, patients (n = 51) were intravenously administered 0.25 mg/kg of indocyanine green. Each laparoscopic cholecystectomy was performed under fluorescence imaging in combination with white-light imaging. Operative outcomes including visualization of the extrahepatic biliary structures and operative time were compared between the patients on whom board-certified surgeons operated (feasibility phase; n = 18) and the patients on whom a surgery resident operated (educational phase; n = 33).
Results: There were no adverse events related to the longer interval method. The visualization rates of extrahepatic biliary structures were comparable between the two phases. Both the mean time to divide the cystic duct and the mean time to remove the gallbladder in the educational phase were significantly longer than those in the feasibility phase (68.2 vs 24.4 minutes and 30.2 vs 15.8 minutes, P < .001 each). There was no significant difference in other operative outcomes. The operative time learning curve did not decrease with a resident's experience.
Conclusions: Fluorescence cholangiography with the longer interval method was feasible and could identify the extrahepatic biliary structures irrespective of the surgeon's experience; however, it did not decrease the operative time with experience.
(© 2021 Asia Endosurgery Task Force and Japan Society of Endoscopic Surgery and John Wiley & Sons Australia, Ltd.)
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فهرسة مساهمة: Keywords: education; fluorescence cholangiography; laparoscopic cholecystectomy
المشرفين على المادة: 0 (Coloring Agents)
IX6J1063HV (Indocyanine Green)
تواريخ الأحداث: Date Created: 20210406 Date Completed: 20211005 Latest Revision: 20211005
رمز التحديث: 20221213
DOI: 10.1111/ases.12939
PMID: 33821548
قاعدة البيانات: MEDLINE
الوصف
تدمد:1758-5910
DOI:10.1111/ases.12939