摘要
目的:探讨术前胃周动脉三维CT血管造影(CTA)在腹腔镜胃癌根治术中的临床应用价值。方法:回顾分析2019年1月至2021年4月为179例胃癌患者行腹腔镜胃癌D2根治术的临床资料,其中103例患者术前行腹腔干CTA(CTA组),76例术前仅行传统增强CT检查(非CTA组)。根据血管造影图像对CTA组患者进行胃周动脉变异分析,并对比分析两组术中及术后恢复情况。结果:CTA组手术时间、术中出血量少于非CTA组。CTA组中,术中使用吲哚菁绿荧光腹腔镜的患者出血量少于未使用吲哚菁绿的患者。结论:腹腔镜胃癌D2根治术前行CTA可客观评估患者的血管走行及变异情况,进而规避手术风险,尤其结合吲哚菁绿荧光腹腔镜可进一步提升手术质量。
Objective:To explore the clinical value of preoperative 3D computed tomography angiography(CTA)of perigastric arteries in laparoscopic radical gastrectomy.Methods:The clinical data of 179 patients with gastric cancer from Jan.2019 to Apr.2021 were retrospectively analyzed.Among them,103 patients underwent CTA examination of the celiac trunk before operation(CTA group),and 76 patients only underwent traditional enhanced CT examination before operation(non-CTA group).According to the angiography images,the perigastric artery variation analysis of the CTA group was performed,the intraoperative condition and postoperative recovery were compared and analyzed between the two groups.Results:The operation time and intraoperative blood loss in the CTA group were less than those in the non-CTA group.In the CTA group,patients who used indocyanine green fluorescence laparoscopy during the operation had less blood loss.Conclusions:CTA before laparoscopic D2 radical surgery for gastric cancer can objectively assess the patient's vascular direction and variation,thereby avoiding the risk of surgery,especially in combination with indocyanine green fluorescence laparoscopy can further improve the quality of surgery.
作者
刘鹏
朱薇
魏猛
欧阳军
程泽伟
梁贻泽
黄亚迪
陈园园
于文滨
LIU Peng;ZHU Wei;WEI Meng(Department of General Surgery,Qilu Hospital of Shandong University,Jinan 250012,China;Department of Nursing,Shandong Medical College)
出处
《腹腔镜外科杂志》
2021年第12期905-910,共6页
Journal of Laparoscopic Surgery
基金
山东省自然科学基金联合基金项目(ZR2019LZL006)
山东大学齐鲁医院临床实用新技术发展基金项目。
关键词
胃肿瘤
胃癌根治术
腹腔镜检查
胃周动脉
血管造影术
吲哚菁绿
Stomach neoplasms
Radical gastrectomy
Laparoscopy
Perigastric artery
Angiography
Indocyanine green
