Department of Thoracic Surgical Oncology, The Cancer Institute Hospital, Japanese Foundation for Cancer Research, 3-8-31, Ariake, Koto-ku, Tokyo, 135-8550, Japan.
Surg Today. 2020 Nov;50(11):1332-1342. doi: 10.1007/s00595-019-01906-6. Epub 2019 Oct 29.
Thoracic surgeons perform a wide variety of cancer operations, which are often associated with high morbidity and mortality. Thus, thoracic surgery involves many special challenges that require innovative solutions. The increased utilization of minimally invasive practices, poor overall cancer survival, and significant morbidity of critical operations remain key obstacles to overcome. Fluorescence imaging technology (FIT), involving the implementation of fluorescent dyes and imaging systems, is currently used as an adjunct for general thoracic surgery in many situations and includes sentinel lymph node mapping, pulmonary intersegmental plane identification, pulmonary nodule identification, pulmonary bullous lesion detection, evaluation of the anastomotic perfusion after tracheal surgery, and thoracic duct imaging for postoperative chylothorax. This technology enhances the surgeon's ability to perform operations, and has specific advantages. We review some of the key studies that demonstrate the applications of FIT in the field of general thoracic surgery, focusing on the use of indocyanine green.
胸外科医生进行各种各样的癌症手术，这些手术通常与高发病率和死亡率相关。因此，胸外科涉及许多需要创新解决方案的特殊挑战。微创实践的应用增加、整体癌症存活率低以及关键手术的高发病率仍然是需要克服的关键障碍。荧光成像技术（FIT）涉及荧光染料和成像系统的实施，目前在许多情况下被用作普通胸外科手术的辅助手段，包括前哨淋巴结绘图、肺段间平面识别、肺结节识别、肺大疱病变检测、气管手术后吻合口灌注评估以及术后乳糜胸的胸导管成像。这项技术增强了外科医生的手术能力，并具有特定的优势。我们回顾了一些关键的研究，这些研究展示了 FIT 在普通胸外科领域的应用，重点是使用吲哚菁绿。
