近红外荧光辅助胸腔镜下食管憩室切除术：一例报告。
Near-infrared fluorescence-assisted thoracoscopic diverticulectomy of esophageal diverticulum: a case report.
机构信息
Department of Thoracic Surgery, Peking University People's Hospital, Beijing, 100044, China.
出版信息
J Cardiothorac Surg. 2023 Mar 10;18(1):84. doi: 10.1186/s13019-023-02142-3.
BACKGROUND
Esophageal diverticulum is a rare condition that requires treatment only when symptoms are present. Surgery has been considered to be the only curative option for symptomatic cases. The most popular procedure is diverticulectomy. Clear and intact exposure of the diverticulum's neck is the basis for safe and effective diverticulectomy.
CASE PRESENTATION
We herein report a case of a 57 year-old woman with an epiphrenic diverticulum. VATS diverticulectomy was scheduled. To better identify the diverticulum neck, we injected indocyanine green (ICG) into the diverticulum through the endoscopic channel, and the diverticulum wall and neck were clearly visible under near-infrared (NIR) fluorescence. With the help of this method, diverticulectomy was successfully performed.
CONCLUSION
This case shows that NIR fluorescence with ICG is safe, simple and reliable and can be used for diverticulectomy.
背景
食管憩室是一种罕见的疾病，只有在出现症状时才需要治疗。手术一直被认为是治疗有症状病例的唯一方法。最常见的手术方法是憩室切除术。清晰完整地暴露憩室颈部是安全有效进行憩室切除术的基础。
病例介绍
我们在此报告一例 57 岁女性食管膈上憩室患者。计划行 VATS 憩室切除术。为了更好地识别憩室颈部，我们通过内镜通道向憩室内注入吲哚菁绿（ICG），在近红外（NIR）荧光下清晰可见憩室壁和颈部。借助该方法，成功完成了憩室切除术。
结论
本病例表明，ICG 近红外荧光是一种安全、简便、可靠的方法，可用于憩室切除术。
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