机器人胃癌根治术中吲哚菁绿（ICG）的应用：胃癌淋巴结清扫结果的回顾性分析
Indocyanine Green (ICG) in Robotic Gastrectomy: A Retrospective Review of Lymphadenectomy Outcomes for Gastric Cancer.
作者信息
Jeon Chul-Hyo, Kim So-Jung, Lee Han-Hong, Song Kyo-Young, Seo Ho-Seok
机构信息
Division of Gastrointestinal Surgery, Department of Surgery, Uijeongbu St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Gyeonggi-do 11765, Republic of Korea.
Division of Trauma and Surgical Critical Care, Department of Surgery, Uijeongbu St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Gyeonggi-do 11765, Republic of Korea.
出版信息
Cancers (Basel). 2023 Oct 11;15(20):4949. doi: 10.3390/cancers15204949.
Radical gastrectomy is essential for gastric cancer treatment. While guidelines advise dissecting at least 16 lymph nodes, some research suggests over 30 nodes might be beneficial. This study assessed ICG-guided robotic gastrectomy's effectiveness in thorough lymph node dissection. We analyzed data from 393 stage II or III gastric cancer patients treated at Seoul St. Mary's Hospital from 2016-2022. Patients were categorized into conventional laparoscopy (G1, = 288), ICG-guided laparoscopy (G2, = 61), and ICG-guided robotic surgery (G3, = 44). Among 391 patients, 308 (78.4%) achieved proper lymphadenectomy. The ICG-robotic group (G3) showed the highest success rate at 90.9%. ICG-guided robotic surgery was a significant predictor for achieving proper lymphadenectomy, with an odds ratio of 3.151. In conclusion, ICG-robotic gastrectomy improves lymphadenectomy outcomes in selected gastric cancer cases, indicating a promising surgical approach for the future.
根治性胃切除术是胃癌治疗的关键。虽然指南建议至少清扫16个淋巴结，但一些研究表明清扫超过30个淋巴结可能更有益。本研究评估了吲哚菁绿（ICG）引导下机器人胃切除术在彻底淋巴结清扫方面的有效性。我们分析了2016年至2022年在首尔圣母医院接受治疗的393例II期或III期胃癌患者的数据。患者被分为传统腹腔镜手术组（G1组，n = 288）、ICG引导下腹腔镜手术组（G2组，n = 61）和ICG引导下机器人手术组（G3组，n = 44）。在391例患者中，308例（78.4%）实现了恰当的淋巴结切除术。ICG机器人手术组（G3组）的成功率最高，为90.9%。ICG引导下机器人手术是实现恰当淋巴结切除术的显著预测因素，比值比为3.151。总之，ICG机器人胃切除术在特定胃癌病例中改善了淋巴结清扫结果，表明这是一种未来有前景的手术方法。
Zotero 插件