Lu J, Huang C M
Department of Gastric Surgery, Fujian Medical University Union Hospital, Fuzhou 350004, China.
Zhonghua Zhong Liu Za Zhi. 2019 Dec 23;41(12):900-903. doi: 10.3760/cma.j.issn.0253-3766.2019.12.004.
With the continuous development of laparoscopic techniques and the concept of individualized treatment, laparoscopic surgery is also moving from "minimally invasive" to "minimally invasive plus precision" . Lymph node metastasis is one of the most important risk factors affecting the prognosis of gastric cancer (GC). Reasonable lymph node dissection has always been an important exploration direction in the field of GC surgery. In recent years, domestic and foreign studies have found that the new tracer, indocyanine green (ICG), can detect the lymphatic vasculature non-invasively, and more accurately display the perigastric lymph nodes, providing a new perspective in laparoscopic lymph node dissection for GC. Alternatively, since the application of ICG in laparoscopic gastrointestinal tumor surgery, especially in gastric cancer surgery is still in the early stage of exploration and experience accumulation, more high-level medical evidences are needed to evaluate its clinical value.
随着腹腔镜技术的不断发展以及个体化治疗理念的深入,腹腔镜手术也正从“微创”走向“微创+精准”。淋巴结转移是影响胃癌(GC)预后的最重要危险因素之一。合理的淋巴结清扫一直是GC外科领域的重要探索方向。近年来,国内外研究发现,新型示踪剂吲哚菁绿(ICG)能够无创检测淋巴脉管系统,更准确地显示胃周淋巴结,为GC的腹腔镜淋巴结清扫提供了新的视角。另外,由于ICG在腹腔镜胃肠肿瘤手术尤其是胃癌手术中的应用尚处于探索和经验积累的早期阶段,还需要更多高级别的医学证据来评估其临床价值。