Application of ultrasound guided percutaneous portal vein puncture indocyanine green positive stai-ning in laparoscopic anaphylectomy of S8 segments of liver
Objective To investigate the value of ultrasound guided preoperative percutaneous por-tal vein puncture indocyanine green(ICG)in laparoscopic anatomic liver S8 resection.Methods The clini-cal data of 15 patients with hepatocellular carcinoma who underwent laparoscopic anabolic S8 hepatectomy in Mengchao Hepatobiliary Hospital of Fujian Medical University from January 2023 to December 2023 were retrospectively analyzed,including 13 males and 2 females with the age of(57.77±11.53)years.Clinical data such as China liver cancer staging(CNLC),target portal vein puncture operation time,operation time,intraoperative blood loss,postoperative complications and perioperative death were recorded.Results Among the 15 patients,11 were CNLC Ⅰa stage and 4 were CNLC Ⅰb stage.The operation time of target portal vein puncture for the 15 patients was(11.33±4.51)min,and they all successfully completed percutaneous portal vein puncture ICG fluorescence injection under ultrasound guidance.However,the dyeing effect was not up to expectations for 2 patients.All patients completed laparoscopic anatomical resection of the liver S8 segment,including 6 cases of resection of the liver S8 segment,8 cases of resection of the posterior segment of the liver S8 segment,and 1 case of resection of the anterior segment of the liver S8 segment.The operative time of laparoscopic anabolic S8 hepatectomy was 181.3(119.0,237.0)min,the intraoperative blood loss was 203.3(100.0,300.0)ml,there was no intraoperative blood transfusion,and the postoperative hospital stay was(12.00±3.88)d.No positive surgical margin was found in postoperative pathology,and the tumor diameter of 15 patients was(3.29±1.10)cm.No complications of Clavien-Dindo grade Ⅲ or above occurred after surgery,and no perioperative death occurred,and only 1 patient developed pulmonary infec-tion after surgery.Conclusion Preoperative ultrasound-guided percutaneous portal vein puncture ICG can effectively assist laparoscopic anatomic S8 hepatectomy in patients with hepatocellular carcinoma.
维普
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