Śródoperacyjne obrazowanie indocyjaniny pod zielonym sterowaniem w celu ułatwienia wspomaganego wideo oczyszczania zaotrzewnowego w leczeniu ostrego martwiczego zapalenia trzustki

Overview

This protocol presents indocyanine green-guided video-assisted retroperitoneal debridement (ICG-guided VARD) for treating severe acute necrotizing pancreatitis. This approach allows for visualization of well-perfused adjacent normal tissues and vascular structures.

Key Study Components

Area of Science

• Neuroscience
• Surgical Techniques
• Fluorescence Imaging

Background

• Severe acute necrotizing pancreatitis can lead to significant complications.
• Traditional debridement methods may not effectively visualize surrounding tissues.
• Indocyanine green (ICG) enhances visualization during surgical procedures.
• Video-assisted techniques improve precision in surgical interventions.

Purpose of Study

• To demonstrate the feasibility of ICG-guided VARD.
• To improve surgical outcomes in patients with necrotizing pancreatitis.
• To provide a clear protocol for implementation in clinical settings.

Methods Used

• Insertion of a 12 mm laparoscopic trocar to access retroperitoneal necrotic collections.
• Application of carbon dioxide pneumoretroperitoneum for wider debridement space.
• Use of near-infrared fluorescence laparoscope for visualization.
• Switching to multi-display mode for enhanced viewing during the procedure.

Main Results

• ICG-guided VARD effectively visualizes normal tissues and vascular structures.
• The method is easy to implement and feasible in clinical practice.
• Improved surgical precision and outcomes were observed.
• Enhanced visualization aids in separating necrotic debris from healthy tissue.

Conclusions

• ICG-guided VARD is a promising technique for treating severe acute necrotizing pancreatitis.
• This method can potentially reduce complications associated with traditional approaches.
• Further studies may validate the long-term benefits of this technique.

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