首页|吲哚菁绿荧光显像系统应用于腹腔镜结直肠癌根治术中的临床效果

吲哚菁绿荧光显像系统应用于腹腔镜结直肠癌根治术中的临床效果

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目的:探讨吲哚菁绿(ICG)荧光显像系统应用于腹腔镜结直肠癌根治术中的临床效果.方法:选取 2021 年4 月—2023 年 4 月就诊于安徽医科大学第一附属医院的结直肠癌患者 96 例,经随机数表法分为对照组(n=48)和观察组(n=48).对照组给予常规腹腔镜结直肠癌根治术,观察组接受ICG荧光显像系统下腹腔镜结直肠癌根治术治疗.观察两组手术相关指标、淋巴结清扫和阳性淋巴结检出情况、术后并发症.结果:两组患者手术相关指标(术中出血量、手术用时、首次排气时间、首次下床时间、术后住院时间)比较,差异无统计学意义(P>0.05);观察组总阳性淋巴结检出数、总淋巴结清扫数、253 组淋巴结清扫数均较对照组多,差异有统计学意义(P<0.05),两组阳性 253 组淋巴结检出数比较,差异无统计学意义(P>0.05);观察组吻合口漏、吻合口出血、感染发生率均低于对照组,差异有统计学意义(P<0.05),两组肠梗阻发生率比较,差异无统计学意义(P>0.05).结论:ICG荧光显像系统应用于腹腔镜结直肠癌根治术中可以提高淋巴清除效果,减少术后并发症的发生,且不影响手术相关指标.
Clinical Effect of the Indocyanine Green Fluorescence Imaging System in Laparoscopic Radical Resection of Colorectal Cancer
Objective:To investigate the clinical effect of Indocyanine Green(ICG)fluorescence imaging system in laparoscopic radical resection of colorectal cancer.Method:A total of 96 colorectal cancer patients who visited the First Affiliated Hospital of Anhui Medical University from April 2021 and April 2023 were selected,and they were divided into control group(n=48)and observation group(n=48)by random number table method.The control group was given conventional laparoscopic radical colorectal cancer,and the observation group received laparoscopic radical resection of colorectal cancer under the ICG fluorescence imaging system.Surgical related indicators,lymph node dissection and positive lymph node detection,and postoperative complications were observed in both groups.Result:There were no statistically significant differences between the two groups in surgical related indicators such as intraoperative bleeding volume,surgical duration,first exhaust time,first time out of bed,and postoperative hospital stay(P>0.05).The total number of positive lymph nodes detected,the total number of lymph nodes dissection,and the total number of in No.253 lymph nodes dissection in the observation group were all higher than those in the control group,the differences were statistically significant(P<0.05).There was no statistically significant difference in the number of No.253 positive lymph node dissection between the two groups(P>0.05).The incidence of anastomotic leakage,anastomotic bleeding,and infection in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05);and there was no statistically significant difference in the incidence of intestinal obstruction between the two groups(P>0.05).Conclusion:The application of ICG fluorescence imaging system in laparoscopic radical colorectal cancer can improve the lymphatic clearance effect and reduce the occurrence of postoperative complications without affecting the surgical related indicators.

Indocyanine greenFluorescence imaging systemColorectal cancer253 stations lymph node dissection

夏成豹、李苏明、杨扣、刘省存

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安徽医科大学第一附属医院 安徽 合肥 230000

吲哚菁绿 荧光显像系统 结直肠癌 253组淋巴结清扫

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(4)
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