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荧光影像在腹腔镜肝切除术中的应用进展

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传统腹腔镜肝切除术存在肿瘤定位困难、难以精准标记肝段、无法实现术中实时导航等缺点,无法满足精准肝切除和解剖性肝切除的要求.以吲哚菁绿为代表的荧光影像技术的出现,在显示胆管、定位肿瘤、标记肝段、显示微小病灶、检查切缘等方面展现出强大的优势.弥补了腹腔镜的固有缺陷,逐步成为腹腔镜技术的主流.而激发光源以及探针分子等荧光影像技术的创新发展,进一步推动了荧光影像技术在腹腔镜肝切除术中的深度应用.
Application advances of fluorescent imaging in laparoscopic hepatectomy
Traditional laparoscopic hepatectomy has many disadvantages,such as difficulty in tumor localization,inaccurate marking of liver segments,and lack of intraoperative real-time navigation,which cannot meet the requirements of precise hepatectomy and anatomical hepatectomy.The emergence of fluorescence imaging technology represented by indocyanine green has shown powerful advantages in displaying bile ducts,locating tumors,marking liver segments,displaying micro lesions,and examining resection margins,which has made up for the inherent defects of laparoscopy and gradually become the mainstream of laparoscopy.The innovation and development of fluorescence imaging technology such as excitation light source and probe molecule have further promoted the in-depth application of fluorescence imaging technology in laparoscopic hepatectomy.

Fluorescent imagingIndocyanine greenFluorescent laparoscopyHepatectomyPrimary liver cancer

张永祥、吴忠仕、简志祥

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广东祈福医院普通外科,广东 广州 511495

广东省人民医院普外科,广东 广州 510180

荧光影像 吲哚菁绿 荧光腹腔镜 肝切除术 原发性肝癌

2022年度广州市番禺区科技计划一般医疗卫生项目

2022-Z04-25

2024

腹部外科
中华医学会武汉分会

腹部外科

CSTPCD
影响因子:0.615
ISSN:1003-5591
年,卷(期):2024.37(1)
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