首页|腹腔镜解剖性肝段切除术中吲哚菁绿荧光染色方法选择和术中超声应用策略

腹腔镜解剖性肝段切除术中吲哚菁绿荧光染色方法选择和术中超声应用策略

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随着对肝脏解剖认识的深入以及荧光腹腔镜设备的使用,腹腔镜解剖性肝切除术已成为治疗肝癌的首选手术方式,取得了良好的近远期疗效.吲哚菁绿荧光染色和术中超声检查是目前腹腔镜解剖性肝切除术中实时影像学引导最常用的两种技术手段,尤其对于肝段间立体界面的标定和引导肝实质离断尤为重要.笔者冋溯国内外最新研究进展,结合临床实践对腹腔镜解剖性肝段切除术中吲哚菁绿荧光染色方法的选择和术中超声的应用进行阐述.
Strategy of indocyanine green fluorescence staining and ultrasound application in laparos-copic anatomical liver segmentectomy
With the deeper understanding of liver anatomy and the use of fluorescent laparoscopic equipment,laparoscopic anatomical liver resection has become the first choice for the treatment of liver cancer,and achieved good short-term and long-term results.Indocyanine green(ICG)fluorescence staining and intraoperative ultrasound are the two most commonly used tech-niques for real-time imaging guidance in laparoscopic anatomical liver resection,especially for the identification of three-dimensional interface between liver segments and the guidance of hepatic parenchyma dissection.Based on latest research progress,and combined with clinical practice,the authors elaborate on the selection of ICG fluorescence staining method and the application of intra-operative ultrasound in laparoscopic anatomical liver segmentectomy.

Liver neoplasmsAnatomical liver segmentectomyIndocyanine green fluo-rescent stainingIntraoperative ultrasoundLaparoscopy

王宏光、王之浩

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国家癌症中心 国家肿瘤临床医学研究中心 中国医学科学院北京协和医学院肿瘤医院肝胆外科,北京 100021

肝肿瘤 解剖性肝段切除 吲哚菁绿荧光染色 术中超声 腹腔镜检查

国家自然科学基金北京市自然科学基金

822729634222058

2024

中华消化外科杂志
中华医学会

中华消化外科杂志

CSTPCD北大核心
影响因子:1.899
ISSN:1673-9752
年,卷(期):2024.23(2)
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