Chand Manish, Dean Meara
Wellcome/EPSRC Centre for Interventional and Surgical Sciences (WEISS), University College London, London, United Kingdom.
University College Hospital, University College London Hospitals, London, United Kingdom.
Clin Colon Rectal Surg. 2022 Aug 10;35(4):338-341. doi: 10.1055/s-0042-1748888. eCollection 2022 Jul.
Indocyanine green (ICG) fluorescent imaging has been used in colorectal surgery to assess intraoperative blood flow to the colon. However, its use has expanded to allow imaging of the lymphatic drainage within the mesentery in cancer resections. This technique can been used for real-time visualization of lymph nodes, and the detection of sentinel lymph nodes, lateral sidewall nodes, metastatic lymph nodes, and peritoneal metastases. Ultimately, this provides a more informative map of the mesentery displaying lymphatics and blood flow. The technique is economical and easy to use by the surgeon intraoperatively. ICG lymphangiography has the potential to aid the surgeon to ensure complete lymphadenectomy is performed in cancer resections.
吲哚菁绿（ICG）荧光成像已用于结直肠手术，以评估术中结肠的血流情况。然而，其应用范围已扩大，可用于癌症切除术中肠系膜内淋巴引流的成像。该技术可用于实时可视化淋巴结，检测前哨淋巴结、侧腹壁淋巴结、转移性淋巴结和腹膜转移灶。最终，这提供了一幅更具信息性的肠系膜图谱，显示淋巴管和血流情况。该技术经济实惠，外科医生在术中易于使用。ICG淋巴管造影术有可能帮助外科医生确保在癌症切除术中进行彻底的淋巴结清扫。
