Интраоперационная визуализация желчных протоков с помощью индоцианина зеленого при лапароскопической холецистэктомии

Цель. Оценка возможности ранней идентификации желчных протоков с применением света в ближнем инфракрасном диапазоне и флюоресцентного агента индоцианина зеленого при лапароскопической холецистэктомии у пациентов с повышенным риском повреждения желчных протоков.
Материал и методы. Лапароскопическая холецистэктомия выполнена 16 пациентам с различными факторами риска травмы желчных протоков. Для интраоперационного определения топографии желчных протоков применяли систему флюоресцентной диагностики.
Результаты. Применение интраоперационной диагностики в ряде наблюдений облегчило идентификацию трубчатых структур в проекции треугольника Кало и позволило избежать конверсии.
Заключение. Первый опыт интраоперационного обнаружения желчных протоков с помощью индоцианина зеленого при лапароскопической холецистэктомии свидетельствует о том, что метод может стать важной дополнительной процедурой у пациентов с повышенным риском повреждения желчных протоков. Необходимы дальнейшие исследования для оптимизации методов, определения дозы, времени и критериев отбора пациентов.

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