吲哚菁绿荧光显像技术在腹腔镜肝切除术中的应用体会

目的:比较吲哚菁绿荧光显像系统引导下的腹腔镜技术与传统腹腔镜技术在肝肿瘤切除术中发现微小肝内转移病灶的能力及切缘距离.方法:选取2018年7月至2020年6月因原发性肝癌行荧光腹腔镜肝脏切除术的11例患者为研究组,并选取同期行普通腹腔镜肝脏切除术的24例原发性肝癌患者为对照组,对比两组术中发现微小肝内转移病灶情况及切缘...

Application of indocyanine green fluorescence imaging technique in laparoscopic hepatectomy

Objective:To identify the capability difference of detecting the small intrahepatic metastases and cutting edge between indocyanine green fluorescence-guided laparoscopy and traditional laparoscopy during hepatectomy.Methods:Clinical data of patients who underwent laparoscopic hepatectomy for primary liver cancer between Jul.2018 and Jun.2020 were retrospectively analyzed.Eleven cases received fluorescence-guided laparoscopy and twenty-four patients received traditional laparoscopy.Detection of small intrahepatic metastases and the surgical margin were compared between the two groups.Results:Two cases were detected intrahepatic metastases in two groups respectively,there was no statistical difference in the capability of detecting intrahepatic metastases by fluorescence-guided laparoscopy compared with traditional laparoscopy(P=0.395) in case of skilled intraoperative ultrasound.However,the application of fluorescence imaging technique could ensure a wider surgical margin than traditional laparoscopy(P=0.034).Conclusions:The application of indocyanine green fluorescence imaging in laparoscopic hepatectomy can effectively ensure a sufficient resection margin.