Takahashi Hidekazu, Sekido Yuki, Kobayashi Eiji, Hata Tsuyoshi, Hamabe Atsushi, Ogino Takayuki, Miyoshi Norikatsu, Uemura Mamoru, Yamamoto Hirofumi, Doki Yuichiro, Eguchi Hidetoshi
Department of Gastroenterological Surgery, Graduate School of Medicine, Osaka University, Suita, Japan.
Department of Obstetrics and Gynecology, Graduate School of Medicine, Osaka University, Suita, Japan.
J Anus Rectum Colon. 2023 Jul 25;7(3):217-220. doi: 10.23922/jarc.2023-015. eCollection 2023.
Here we report a case of locally advanced rectal cancer with vaginal invasion, which was successfully resected via laparoscopic surgery using intraoperative indocyanine green (ICG) navigation to determine the vaginal cut line. Based on preoperative examinations, an 81-year-old female was diagnosed with locally advanced rectal cancer with vaginal invasion. After preoperative chemoradiotherapy, the lesion was judged to be resectable. During surgery, the gynecologist transvaginally injected ICG into the vaginal submucosa to determine the caudal margin of the vaginal invasion, and laparoscopically dissected under the near-infrared image of the stained area. Pathological analysis of the resection specimen revealed negative resection margins. One year after surgery, there has been no recurrence.
在此，我们报告一例局部晚期直肠癌侵犯阴道的病例，该病例通过术中使用吲哚菁绿（ICG）导航确定阴道切除线，成功地进行了腹腔镜手术切除。根据术前检查，一名81岁女性被诊断为局部晚期直肠癌侵犯阴道。术前放化疗后，病变被判定为可切除。手术过程中，妇科医生经阴道将ICG注入阴道黏膜下层以确定阴道侵犯的尾侧边缘，并在染色区域的近红外图像下进行腹腔镜解剖。切除标本的病理分析显示切缘阴性。术后一年，未出现复发。
