@article{oai:shiga-med.repo.nii.ac.jp:02000043,
 author = {氷置, 佳也 and HIOKI, Keiya and 油木, 純一 and ABURAKI, Junichi and 木田, 睦士 and KIDA, Atsushi and 児玉, 創太 and KODAMA, Sota and 大惠, 匡俊 and OE, Tadatoshi and 山本, 寛 and YAMAMOTO, Hiroshi and 梅田, 朋子 and UMEDA, Tomoko and 八木, 俊和 and YAGI, Toshikazu and 来見, 良誠 and KURUMI, Yoshimasa},
 issue = {1},
 journal = {滋賀医科大学雑誌},
 month = {Dec},
 note = {絞扼性腸閉塞の手術における腸管の血流評価でIndocyanine Green（以下，ICGと略記）蛍光法の有用性が報告されている．当院では腹腔鏡用ICG蛍光法のVISERA ELITEⅡ®（OLYMPUS）を導入しており，腹腔鏡画像上でICG蛍光法の観察が可能である．絞扼性腸閉塞の手術で腹腔鏡用ICG蛍光法を使用した症例について報告する．
　2019年4月～2022年12月の期間に当院で腹腔鏡用ICG蛍光法を施行した絞扼性腸閉塞の症例は6例であった．平均年齢は72.3±13.9歳，発症から手術までの平均時間は19.3±1.7時間，平均手術時間は85.5±10.9分，平均在院日数は19.8±3.5日であった．4例で腸管を温存しており，2例で腸管を切除した．術後合併症は１例のみ誤嚥性肺炎を認めたが，全例が遅発性壊死や穿孔を発症せず退院した． 
　腹腔鏡用ICG蛍光法は絞扼腸管を温存する判断の一助となる可能性がある．腹腔内で手術を完遂できる症例では小開腹することなくICG蛍光法で血流を評価できる点が利点と考えられた．, There is a report on the evaluation of blood flow in a strangulated intestine during surgery for strangulated bowel obstruction using the ICG fluorescence image. We have introduced the laparoscopic ICG fluorescence image. This allows the ICG fluorescence image to be performed on laparoscopic screen. We will discuss cases of laparoscopic ICG fluorescence image used in a surgery for strangulated bowel obstruction.
 Six cases were performed in our hospital from April 2019 to December 2022. The mean age was 72.3 ± 13.9 years, the mean time from onset to surgery was 19.3 ± 1.7 hours, the mean operative time was 85.5 ± 10.9 minutes, and the mean hospital stay was 19.8 ± 3.5 days. 4 patients had their strangulated bowel tract preserved and 2 patients had it resected. Only one patient developed aspiration pneumonia as a postoperative complication. All six patients did not develop delayed necrosis or perforation of strangulated intestine. 
 We believe that the laparoscopic ICG fluorescence image could assist in the decision to preserve the strangulated bowel tract. In cases that can be completed laparoscopically, the advantage of laparoscopic ICG fluorescence image is that we can evaluate blood flow of strangulated intestine without a small laparotomy and extraperitoneal traction.},
 pages = {1--4},
 title = {腹腔鏡用ICG蛍光法で腸管血流を判断した絞扼性腸閉塞の6例},
 volume = {37},
 year = {2023},
 yomi = {ヒオキ, ケイヤ and アブラキ, ジュンイチ and キダ, アツシ and コダマ, ソウタ and オオエ, タダトシ and ヤマモト, ヒロシ and ウメダ, トモコ and ヤギ, トシカズ and クルミ, ヨシマサ}
}