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

doi:10.3877/cma.j.issn.1674-6899.2021.03.004

Abstract

Abstract:

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.

Key words: Robotic surgery, ICG, Liver, Beger surgery, Teaching and training

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

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URL: https://zhqjwkzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.1674-6899.2021.03.004

https://zhqjwkzz.cma-cmc.com.cn/EN/Y2021/V14/I03/149

References 10

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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