Ozawa Yoshiaki, Murakami Masahiko, Watanabe Makoto, Yoshizawa Sota, Goto Satoru, Otsuka Koji, Aoki Takeshi
Department of Gastroenterological and General Surgery, Showa University Hospital, Tokyo, Japan.
Asian J Endosc Surg. 2016 Nov;9(4):340-343. doi: 10.1111/ases.12306.
To identify a colorectal cancer tumor site for surgery, preoperative endoscopic marking methods, such as India ink tattooing or clipping, are generally performed. However, India ink tattooing causes problems such as impaired surgical view because of adverse events, ink leakage into the peritoneal cavity, and peritonitis or adhesion ileus as a result of leakage. The clipping method requires checking by palpation, which is unsuitable for laparoscopic surgery.
We devised a preoperative marking method for colorectal cancer surgery (laparotomy) by applying the fluorescent dye indocyanine green. Herein, we report its usefulness.
We report the application of fluorescent dye indocyanine green in laparoscopic surgery.
为了确定结直肠癌手术的肿瘤部位，通常会采用术前内镜标记方法，如印度墨水纹身或夹子标记。然而，印度墨水纹身会因不良事件导致手术视野受损、墨水漏入腹腔以及因渗漏导致腹膜炎或粘连性肠梗阻等问题。夹子标记法需要通过触诊进行检查，这不适用于腹腔镜手术。
我们通过应用荧光染料吲哚菁绿设计了一种用于结直肠癌手术（剖腹手术）的术前标记方法。在此，我们报告其有效性。
我们报告了荧光染料吲哚菁绿在腹腔镜手术中的应用。
