Liu M X, Xing J D, Su X Q
Department of Gastrointestinal Surgery IV, Peking University Cancer Hospital & Institute, Key laboratory of Carcinogenesis and Translational Research (Ministry of Education), Beijing 100142, China.
Zhonghua Zhong Liu Za Zhi. 2019 Dec 23;41(12):891-895. doi: 10.3760/cma.j.issn.0253-3766.2019.12.002.
With the development of laparoscopic surgery technique, the concept of minimally invasive surgery has gradually gained popularity. Laparoscopic minimally invasive technique applied in the treatment of gastric cancer has been recognized by surgeons. In recent years, the indocyanine green labeled near-infrared fluorescence laparoscopic technique has been gradually applied to the surgical treatment of gastric cancer. This technique overcomes the drawbacks of tactile lack of laparoscopic surgery and makes the laparoscopic surgery of gastric cancer more precise and minimally invasive. This article introduces the injection method of indocyanine green and discusses the application of fluorescent laparoscopy in gastric cancer surgery, including intraoperative tumor localization of early gastric cancer, sentinel lymph node biopsy, lymph node navigation of advanced gastric cancer, digestive tract reconstruction and gastrointestinal blood perfusion assessment during the procedure.
随着腹腔镜手术技术的发展，微创手术的概念逐渐受到欢迎。腹腔镜微创技术应用于胃癌治疗已得到外科医生的认可。近年来，吲哚菁绿标记的近红外荧光腹腔镜技术已逐渐应用于胃癌的外科治疗。该技术克服了腹腔镜手术触觉不足的缺点，使胃癌腹腔镜手术更加精准且微创。本文介绍了吲哚菁绿的注射方法，并探讨了荧光腹腔镜在胃癌手术中的应用，包括早期胃癌术中肿瘤定位、前哨淋巴结活检、进展期胃癌淋巴结导航、消化道重建以及术中胃肠道血流灌注评估。
