使用 VISERA ELITE2 在腹腔镜结直肠癌手术中采用 ICG 荧光法评估吻合口。
Evaluation of Anastomosis With ICG Fluorescence Method Using VISERA ELITE2 During Laparoscopic Colorectal Cancer Surgery.
机构信息
Department of Surgery, The Jikei University Hospital, Tokyo, Japan
Department of Surgery, The Jikei University Hospital, Tokyo, Japan.
出版信息
Anticancer Res. 2020 Jan;40(1):373-377. doi: 10.21873/anticanres.13962.
AIM
In colorectal cancer surgery, the efficacy of intestinal blood flow evaluation with the indocyanine green (ICG) fluorescence method using the VISERA ELITE2 system was investigated.
PATIENTS AND METHODS
Participants in this study comprised 50 patients who underwent elective laparoscopic colorectal cancer surgery at the Department of Surgery, the Jikei Daisan Hospital. With the ICG fluorescence method, whether it was necessary to change the intestinal transection line for anastomosis was evaluated.
RESULTS
For three cases of rectal cancer, the oral transection line determined from macroscopic observation was judged to offer insufficient blood flow according to the ICG fluorescence method. The transection line for anastomosis was changed according to fluorescence. None of these cases showed complications.
CONCLUSION
The ICG fluorescence method may allow safe anastomosis in colorectal surgery for cancer.
目的
在结直肠肿瘤手术中，使用 VISERA ELITE2 系统评估吲哚菁绿（ICG）荧光法评估肠道血流的效果。
患者和方法
本研究纳入了 50 名在日本帝京大学三井记念医院外科接受择期腹腔镜结直肠肿瘤手术的患者。使用 ICG 荧光法评估是否需要改变肠吻合的切割线。
结果
对于 3 例直肠癌，根据 ICG 荧光法，从宏观观察确定的口腔切割线被判断为血流不足。根据荧光结果改变了吻合的切割线。这些病例均无并发症发生。
结论
ICG 荧光法可能使结直肠肿瘤手术的吻合更安全。
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