Benedicenti Sara, Molfino Sarah, Alfano Marie Sophie, Molteni Beatrice, Porsio Paola, Portolani Nazario, Baiocchi Gian Luca
Department of Clinical and Experimental Sciences, Surgical Clinic, University of Brescia, Brescia, Italy.
Case Rep Gastrointest Med. 2018 Jun 10;2018:5849816. doi: 10.1155/2018/5849816. eCollection 2018.
The concept of fluorescence-guided navigation surgery based on indocyanine green (ICG) is a developing interest in many fields of surgical oncology. The technique seems to be promising also during hepatic resection. We reported our experience of ICG-fluorescence-guided liver resection of metastasis located at VIII Couinaud's segment from colon squamous cell carcinoma of a 74-year-old male patient. After laparotomy, the fluorescing tumour has been clearly identified on the liver surface. We have also identified that a large area of fluorescent parenchyma that gets from the peripheral of the lesion up to the portal pedicle such as the neoplasia would interest the right biliary tree in the form of neoplastic lymphangitis. This datum was not preoperatively known. Fluorescent imaging navigation liver resection could be a feasible and safe technique helpful in identifying additional characteristics of lesion. It could be a powerful tool but further studies are required.
基于吲哚菁绿（ICG）的荧光引导导航手术概念在外科肿瘤学的许多领域正日益受到关注。该技术在肝切除术中似乎也很有前景。我们报告了对一名74岁男性结肠鳞状细胞癌患者位于肝Ⅷ段的转移灶进行ICG荧光引导肝切除的经验。剖腹手术后，在肝脏表面清晰地识别出了发出荧光的肿瘤。我们还发现，从病变周边一直到门静脉蒂的大片荧光实质，就像肿瘤会以肿瘤性淋巴管炎的形式累及右肝管一样。这一情况术前并不知晓。荧光成像导航肝切除可能是一种可行且安全的技术，有助于识别病变的其他特征。它可能是一个强大的工具，但还需要进一步研究。
