摘要
目的:探讨吲哚菁绿(ICG)在腹腔镜胃癌根治术中淋巴结定位及清扫的应用价值。方法:回顾分析2018年1月至2019年5月接受腹腔镜胃癌D2根治术的73例胃癌患者的临床资料。其中35例术前经ICG标记后行腹腔镜手术(ICG组),38例行常规腹腔镜胃癌根治术(对照组)。对比分析两组淋巴结清扫总数、手术时间、出血量、术后并发症及住院时间。结果:两组均顺利完成腹腔镜胃癌根治术。ICG组与对照组手术时间[(195.31±35.12)min vs.(201.48±36.57)min,P>0.05]、术中出血量[(90.58±18.27)mL vs.(92.44±20.25)mL,P>0.05]、术后排气时间[(3.25±1.35)d vs.(3.17±1.65)d,P>0.05]、术后住院时间[(12.55±3.25)d vs.(13.50±3.65)d,P>0.05]差异均无统计学意义。两组淋巴结清扫数量差异有统计学意义[(47.71±16.43)枚vs.(30.22±11.67)枚,P<0.05]。术后平均随访(27±13)个月,其中2例吻合口复发,予以手术切除,无死亡病例。结论:ICG成像技术方便、安全、有效,可确保淋巴结清扫的安全性、有效性,避免淋巴结残留。
Objective:To assess the use of indocyanine green(ICG)during laparoscopic radical gastrectomy for lymph node location and dissection.Methods:Retrospective analysis was done on the clinical data of 73 gastric cancer patients who underwent laparoscopic D2 radical gastrectomy between Jan.2018 and May 2019.The ICG group,which consisted of 35 patients,received laparoscopic surgery after ICG labeling,while the control group consisted of 38 patients,underwent traditional laparoscopic radical gastrectomy.B etween the two groups,comparisons and analyses were made regarding the total number of lymph node dissections,operation time,blood loss,postoperative complications and hospital stay.Results:Both groups successfully completed laparoscopic radical gastric cancer surgery,no case was converted to laparotomy.In the ICG group and control group,the operative time[(195.31±35.12)min vs.(201.48±36.57)min,P>0.05],the intraoperative blood loss[(90.58±18.27)mL vs.(92.44±20.25)mL],the postoperative exhaust time[(3.25±1.35)d vs.(3.17±1.65)d,P>0.05],and the postoperative hospitalization time[(12.55±3.25)d vs.(13.50±3.65)d,P>0.05]were not statistically significantly different.The number of lymph node dissection in both groups was statistically significant different[(47.71±16.43)vs.(30.22±11.67),P<0.05].The follow-up period was(27±13)months,and two cases of anastomotic recurrence were treated with surgical resection without death.Conclusions:ICG imaging technology is convenient,safe and effective.This technology may become a criterion for lymph node dissection in the future,and it can ensure the safety and effectiveness of lymph node dissection to avoid lymph node residue.
作者
刘选文
高峰
朱甲明
LIU Xuanwen;GAO Feng;ZHU Jiamin(Department of Gastrointestinal Surgery,Jilin Central Hospital,Jilin 132062,China;Department of Oncology,the First Affiliated Hospital of China Medical University)
出处
《腹腔镜外科杂志》
2024年第1期18-21,31,共5页
Journal of Laparoscopic Surgery
关键词
胃肿瘤
胃癌根治术
腹腔镜检查
吲哚菁绿
示踪剂
Stomach neoplasms
Radical gastrectomy for cancer
Laparoscopy
Indocyanine green
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