吲哚菁绿引导腹腔镜侧方淋巴结清扫术治疗直肠癌的初步研究。
Preliminary study of indocyanine green-guided laparoscopic lateral lymph node dissection for rectal cancer.
机构信息
Department of Gastrointestinal Surgery, The Second Affiliated Hospital of Fujian Medical University, Quanzhou, Fujian Province, China.
出版信息
PLoS One. 2024 Jul 15;19(7):e0307077. doi: 10.1371/journal.pone.0307077. eCollection 2024.
BACKGROUND
LLNM can occur in mid-low rectal cancer, but LLND in patients with rectal cancer presents certain challenges. Recent years have seen the progressive application of ICG fluorescence imaging technology in colorectal surgery. This study aimed to explore the effectiveness of ICG-guided laparoscopic LLND for rectal cancer.
METHODS
We applied ICG-guided laparoscopic lateral lymph node dissection in 11 patients diagnosed as rectal cancer with lateral lymph node metastasis.
RESULTS
All 11 patients in this group successfully completed ICG-guided laparoscopic LLND for rectal cancer with good lateral lymph node imaging.
CONCLUSIONS
ICG-guided laparoscopic LLND for rectal cancer is safe and represents a feasible solution, thereby providing valuable guidance for intraoperative lymph node dissection.
背景
低位直肠癌中可发生侧方淋巴结转移（LLNM），但直肠癌患者行侧方淋巴结清扫（LLND）存在一定挑战。近年来，吲哚菁绿（ICG）荧光成像技术在结直肠外科中得到逐步应用。本研究旨在探讨 ICG 引导腹腔镜下直肠癌侧方淋巴结清扫术的有效性。
方法
对 11 例诊断为侧方淋巴结转移的直肠癌患者应用 ICG 引导腹腔镜下侧方淋巴结清扫术。
结果
本组 11 例患者均成功完成 ICG 引导腹腔镜下直肠癌侧方淋巴结清扫术，侧方淋巴结显像良好。
结论
ICG 引导腹腔镜下直肠癌侧方淋巴结清扫术安全可行，为术中淋巴结清扫提供了有价值的指导。
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