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中华腔镜外科杂志(电子版) ›› 2021, Vol. 14 ›› Issue (03) : 149 -151. doi: 10.3877/cma.j.issn.1674-6899.2021.03.004

论著

吲哚菁绿荧光显像在肝胆胰机器人手术中的应用实践与教学
潘立超1, 尹注增1, 赵之明1,()   
  1. 1. 100853 北京,解放军总医院肝胆胰外科医学部
  • 收稿日期:2021-04-18 出版日期:2021-08-18
  • 通信作者: 赵之明

Practical and training application of indocyanine green fluorescence imaging in hepatobiliary and pancreatic robotic surgery

Lichao Pan1, Zhuzeng Yin1, Zhiming Zhao1,()   

  1. 1. Faculty of Hepato-Pancreato-Biliary Surgery and Institute of Hepatobiliary Surgery, the First Medical Center of PLA General Hospital, Beijing 100853, China
  • Received:2021-04-18 Published:2021-08-18
  • Corresponding author: Zhiming Zhao
引用本文:

潘立超, 尹注增, 赵之明. 吲哚菁绿荧光显像在肝胆胰机器人手术中的应用实践与教学[J/OL]. 中华腔镜外科杂志(电子版), 2021, 14(03): 149-151.

Lichao Pan, Zhuzeng Yin, Zhiming Zhao. Practical and training application of indocyanine green fluorescence imaging in hepatobiliary and pancreatic robotic surgery[J/OL]. Chinese Journal of Laparoscopic Surgery(Electronic Edition), 2021, 14(03): 149-151.

目的

探讨吲哚菁绿荧光显像技术的标准化操作方案与路径在开展肝胆胰机器人外科手术临床应用与教学实践中的作用。

方法

对2020年1~12月的解放军总医院肝胆胰外科医学部20位青年医师进行培训,通过理论学习吲哚菁绿荧光显像技术的应用方法,结合术中操作经验及所遇问题不断优化,总结经验。针对不同手术方式,制订标准化吲哚菁绿注射剂量、注射时间,达到最佳显像效果。

结果

建立吲哚菁绿荧光显像技术的标准化操作方案与路径可以缩短青年医师的学习曲线,从而更加精准的开展机器人肝胆胰手术。

结论

从简到难,从理论到实践的肝胆胰机器人手术培训体系的建立,能够使外科医师更加精准的掌握吲哚菁绿在肝胆胰手术中的应用技巧。

Objective

This study aims to explore the role of the standardized operation plan for the indocyanine green fluorescence imaging technology in the clinical application and teaching practice of hepatobiliary and pancreatic robotic surgery.

Methods

From Jan. to Dec. 2020, 20 junior physicians from the Faculty of Hepato-Pancreato-Biliary Surgery of the PLA General Hospital were trained to theoretically learn the application methods of indocyanine green fluorescence imaging technology, which is combined with the exchange of intraoperative operating experience, solutions of continuous problems encountered, optimization of continuous improvements as well as summarization of the whole process. For different surgical strategies, standardized indocyanine green injection dosage and injection time were formulated to achieve the best imaging effect.

Results

We established a standardized operation plan for indocyanine green fluorescence imaging technology can shorten the learning process of young physicians, which will enable them to carry out robotic hepatobiliary and pancreatic surgery more accurately.

Conclusions

From simplicity to sophistication, from theory leaming to realworld practice, the establishment of the training system of hepatobiliary pancreatic robotic surgery enable surgeons to more accurately master the application skills of indocyanine green in hepatobiliary pancreatic surgery.

1
刘荣,刘渠.术中风险预控与肝胆胰微创外科[J/CD].中华腔镜外科杂志(电子版),2017,10(2): 65-67.
2
Hiwatashi K, Okumura H, Setoyama T, et al. Evaluation of laparoscopic cholecystectomy using indocyanine green cholangiography including cholecystitis: a retrospective study[J]. Medicine, 2018, 97(30): 11654-11654.
3
Dan PC, Constantinescu MI, Ciocan RA, et al. Near infrared light examination as part of the management of sporadic pancreatic head insulinoma: case report[J]. International Journal of Surgery Case Reports, 2019, 64: 35-40.
4
Qi C, Zhang H, Chen Y, et al. Effectiveness and safety of indocyanine green fluorescence imaging-guided hepatectomy for liver tumors: a systematic review and first meta-analysis[J]. Photodiagnosis and Photodynamic Therapy, 2019, 28: 346-353.
5
刘荣.智能医学时代医生的转型[J]. 腹腔镜外科杂志,2018. 23(1): 1-3.
6
刘荣,赵之明.正确认识"达芬奇"手术机器人在肝胆胰外科中的作用[J/CD]. 中华腔镜外科杂志(电子版), 2012,5(2): 1-3.
7
Zhao Z, Yin Z, Pan L, et al. Robotic hepatic resection in postero-superior region of liver[J]. Updates in Surgery, 2020,73(1): 1007-1014.
8
Beger HG. Duodenum-preserving resection of the head of the pancreas in severe chronic pancreatitis. early and late results[J]. Langenbecks Archiv Für Chirurgie, 1987, 372(3): 357-357.
9
庄岩,杨尹默.Beger手术——回顾与展望[J/CD]. 中华肝脏外科手术学电子杂志,2017,6(1): 6-9.
10
Sharma S, Huang R, Hui S, et al. The utilization of fluorescent cholangiography during robotic cholecystectomy at an inner-city academic medical center[J]. J Robot Surg, 2017,12(3): 481-485.
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