摘要
目的比较吲哚菁绿(indocyanine green,ICG)荧光反染法与改良膨胀萎陷法在胸腔镜复杂肺段切除术中段间平面显露的效果。方法回顾性分析2020年1月~2021年8月我院108例胸腔镜下复杂肺段切除术的临床资料,其中43例采用ICG反向染色法(荧光染色组),65例采用改良膨胀萎陷法(改良膨胀萎陷组),比较2组术中和术后情况。结果与改良膨胀萎陷组相比,ICG荧光染色组段间平面形成时间[(9.1±1.4)s vs.(1724.3±309.1)s,t=44.736,P=0.000]、手术时间[(147.5±32.2)min vs.(174.2±57.7)min,t=3.077,P=0.003]、术后胸管留置时间[2(1,2)d vs.3(2,3)d,Z=-3.829,P=0.000]和术后住院时间[6.0(4.0,7.0)d vs.7.0(5.5,10.0)d,Z=-2.644,P=0.008]明显缩短。2组术中出血量、淋巴结采样数目、并发症发生率差异无统计学意义(均P>0.05)。结论对于胸腔镜下复杂肺段切除术的段间平面显露,相比改良膨胀萎陷法,ICG荧光染色法是安全、高效的。
Objective To compare the effect of indocyanine green(ICG)fluorescence reverse staining method and the modified inflation-collapse method in the exposure of intersegment plane in thoracoscopic complex segmentectomy.Methods Clinical data of 108 patients who underwent thoracoscopic complex segmentectomy in our hospital from January 2020 to August 2021 were retrospectively analyzed.The ICG reverse staining method was used in 43 patients(fluorescent staining group),and lung inflation and collapse method was used in 65 patients(modified inflation-collapse group).The intraoperative data and postoperative complications of the two groups were recorded and compared.Results Compared with the modified inflation-collapse group,the intersegmental plane formation time[(9.1±1.4)s vs.(1724.3±309.1)s,t=44.736,P=0.000],operation time[(147.5±32.2)min vs.(174.2±57.7)min,t=3.077,P=0.003],postoperative thoracic tube indwelling time[2(1,2)d vs.3(2,3)d,Z=-3.829,P=0.000]and postoperative hospital stay[6.0(4.0,7.0)d vs.7.0(5.5,10.0)d,Z=-2.644,P=0.008]in the fluorescent staining group was significantly shorter.No significant differences were observed between the two groups in the amount of intraoperative blood loss,the number of lymph node dissection,and the incidence of complications(All P>0.05).Conclusion Compared with the modified inflation-collapse method,ICG fluorescence reverse staining is a safe and efficient method for the exposure of intersegment plane in thoracoscopic complex segmentectomy.
作者
许德新
陈新富
Xu Dexin;Chen Xinfu(Department of Thoracic Surgery,Fuzhou Pulmonary Hospital of Fujian Province,Fuzhou 350007,China)
出处
《中国微创外科杂志》
CSCD
北大核心
2023年第5期325-331,共7页
Chinese Journal of Minimally Invasive Surgery
关键词
吲哚菁绿
荧光反染法
改良膨胀萎陷法
复杂肺段切除术
胸腔镜手术
Indocyanine green
Fluorescence reverse staining method
Modified inflation-collapse method
Complex segmentectomy
Thoracoscopic surgery
