[吲哚菁绿在电视辅助胸腔镜手术中对小肺结节定位的应用价值]
[Application Value of Indocyanine Green in the Localization of Small Pulmonary Nodules in Video-assisted Thoracoscopic Surgery].
作者信息
Cao Jian, Wang Zhi-Wei, Ding Ning, Wang Ke-Fei, Jin Zheng-Yu, Li Shan-Qing
机构信息
Department of Radiology,Beijing 100730,China.
Department of Thoracic Surgery,PUMC Hospital,CAMS and PUMC,Beijing 100730,China.
出版信息
Zhongguo Yi Xue Ke Xue Yuan Xue Bao. 2021 Aug;43(4):558-562. doi: 10.3881/j.issn.1000-503X.14086.
Objective To investigate the application value of indocyanine green(ICG)in the localization of small pulmonary nodules in video-assisted thoracoscopic surgery(VATS). Methods We retrospectively analyzed the clinical data of 45 patients with small nodules(diameter<1 cm)who received preoperative localization with ICG and underwent VATS wedge resection from October 2020 to February 2021.The data for analysis included patients age,nodule diameter,distance from the parietal pleura,nodule density,success rate of localization,time of localization,incidence of complications,and pathological findings. Results The success rate of localization was 100%.The average nodule size was 6.3 mm,and the nodules were(10±11)mm from the parietal pleura.After localization of 59 nodules,13(22.0%)cases were found to have mild pneumothorax,and 4(6.7%)cases were found to have mild hemorrhage.The success rate of operation was 100%,and 43(72.9%)cases were confirmed adenocarcinoma by postoperative pathology. Conclusion ICG has a high success rate and good safety in the localization of small pulmonary nodules in VATS.
目的 探讨吲哚菁绿（ICG）在电视辅助胸腔镜手术（VATS）中对小肺结节定位的应用价值。方法 回顾性分析2020年10月至2021年2月期间45例接受ICG术前定位并进行VATS楔形切除术的小结节（直径<1 cm）患者的临床资料。分析的数据包括患者年龄、结节直径、距脏层胸膜距离、结节密度、定位成功率、定位时间、并发症发生率及病理结果。结果 定位成功率为100%。结节平均大小为6.3 mm，距脏层胸膜（10±11）mm。59个结节定位后，13例（22.0%）出现轻度气胸，4例（6.7%）出现轻度出血。手术成功率为100%，术后病理确诊43例（72.9%）为腺癌。结论 ICG在VATS中对小肺结节定位成功率高且安全性好。
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