PDF(Pubmed)
Abstract：
This case report describes a laparoscopic approach using fluorescence imaging guidance to treat gangrenous cholecystitis with perforation (GCP). A male patient in his early 60s presented with 3 days of right upper abdominal pain. Computed tomography and ultrasonography findings were consistent with a stone incarcerated in the gallbladder neck, GCP, and localized peritonitis. Percutaneous gallbladder drainage was initially performed, followed by laparoscopic cholecystectomy 7 days later, using combined intravenous and intracholecystic fluorescent cholangiography. This technique allowed visualization of the cystic and common bile ducts during surgery and enabled safe removal of the diseased gallbladder. The patient recovered well without complications, and reported no pain or discomfort at a 2-month follow-up.
摘要：
此病例报告描述了一种使用荧光成像指导治疗穿孔坏疽性胆囊炎（GCP）的腹腔镜方法。一名60多岁的男性患者出现3天的右上腹痛。计算机断层扫描和超声检查结果与胆囊颈结石嵌顿一致，GCP,和局限性腹膜炎.最初进行经皮胆囊引流，7天后进行腹腔镜胆囊切除术，使用联合静脉和胆囊内荧光胆管造影。该技术可以在手术期间可视化胆囊和胆总管，并可以安全地切除患病的胆囊。病人恢复良好,没有出现并发症,并报告在2个月的随访中没有疼痛或不适。
