吲哚菁绿引导下的腹腔镜右半结肠完整结肠系膜切除术层面解析与团队配合
Team collaboration and membrane layer analysis of laparoscopic complete mesocolic exci-sion for right-sided colon cancer guided by indocyanine green
李立威 1赵志铭 1孙凌宇 2田德操 1白明瀚 2郑宏群2
作者信息
- 1. 绥化市第一医院普外二科 黑龙江绥化 152000
- 2. 哈尔滨医科大学附属第四医院肿瘤外科 黑龙江哈尔滨 150000
- 折叠
摘要
完整结肠系膜切除术联合中央血管结扎已成为结肠癌根治手术的标准术式.随着结直肠手术进入微创手术与膜解剖时代,吲哚菁绿近红外光成像技术为肿瘤定位、淋巴结示踪、吻合口血供判断提供了进一步的操作保障,其在腹腔镜完整结肠系膜切除术中得到进一步应用.本文总结了吲哚菁绿引导下的腹腔镜右半结肠完整结肠系膜切除术流程及团队配合要点,对吲哚菁绿对淋巴结示踪和手术层面的判断加以阐述.
Abstract
Complete mesocolic excision(CME)combined with central vascular ligation has become the standard surgical procedure for radical resection of colon cancer.With the advent of minimally invasive surgery and the emphasis on meso-colic plane dissection in colorectal procedures,indocyanine green near-infrared imaging technology offers enhanced capa-bilities in tumor localization,lymph node tracing,and assessment of anastomotic blood supply.It has been further ap-plied in laparoscopic right hemicolectomy CME surgery.This article summarizes the laparoscopic right hemicolectomy CME surgery process and team collaboration using indocyanine green tracing and elaborates on the use of indocyanine green for lymph node tracing and surgical layer assessment.
关键词
结肠癌/完整结肠系膜切除术/膜解剖/吲哚菁绿/手术团队Key words
colon cancer/complete mesocolic excision/membrane dissection/indocyanine green/surgical team引用本文复制引用
基金项目
黑龙江卫生健康委科技计划(20210404010062)
出版年
2024
国家科技期刊平台
NSTL
万方数据