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 lapa-roscopic 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.Between 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.
关键词
胃肿瘤/胃癌根治术/腹腔镜检查/吲哚菁绿/示踪剂
Key words
Stomach neoplasms/Radical gastrectomy for cancer/Laparoscopy/Indocyanine green/Tracer
维普
万方数据