Kang Li-Min, Zhang Fu-Wei, Yu Fa-Kun, Xu Lei
Department of Hepatobiliary and Pancreatic Surgery, Puer People's Hospital, Puer 665000, Yunnan Province, China.
World J Clin Cases. 2024 Aug 16;12(23):5288-5293. doi: 10.12998/wjcc.v12.i23.5288.
Traditional laparoscopic liver cancer resection faces challenges, such as difficulties in tumor localization and accurate marking of liver segments, as well as the inability to provide real-time intraoperative navigation. This approach falls short of meeting the demands for precise and anatomical liver resection. The introduction of fluorescence imaging technology, particularly indocyanine green, has demonstrated significant advantages in visualizing bile ducts, tumor localization, segment staining, microscopic lesion display, margin examination, and lymph node visualization. This technology addresses the inherent limitations of traditional laparoscopy, which lacks direct tactile feedback, and is increasingly becoming the standard in laparoscopic procedures. Guided by fluorescence imaging technology, laparoscopic liver cancer resection is poised to become the predominant technique for liver tumor removal, enhancing the accuracy, safety and efficiency of the procedure.
传统的腹腔镜肝癌切除术面临挑战，如肿瘤定位困难、肝段精确标记以及无法提供术中实时导航。这种方法无法满足精确解剖性肝切除的要求。荧光成像技术的引入，尤其是吲哚菁绿，在胆管可视化、肿瘤定位、肝段染色、微小病变显示、切缘检查和淋巴结可视化方面显示出显著优势。该技术克服了传统腹腔镜缺乏直接触觉反馈的固有局限性，正日益成为腹腔镜手术的标准。在荧光成像技术的引导下，腹腔镜肝癌切除术有望成为肝肿瘤切除的主要技术，提高手术的准确性、安全性和效率。
