吲哚菁绿荧光影像技术在腹腔镜肝切除术中的应用

Application of indocyanine green fluorescence imaging in laparoscopic hepatectomy

微创和精准是现代肝胆外科追求的目标,在这一理念的指引下腹腔镜肝切除技术日趋成熟和规范,但受限于腹腔镜本身技术和设备特点,仍存在一些局限性。吲哚菁绿(ICG)荧光影像技术能够精确定位肿瘤、标记肝段、显示胆道,是术中实时、精确引导肝实质离断平面的有效工具,也可用于检出微小病灶和探测胆漏。ICG荧光影像技术在一定程度上弥补了腹腔镜技术的不足,为精准手术提供了更好的条件。本文结合研究现状和笔者自身经验,介绍了ICG荧光影像技术在腹腔镜肝切除中的应用。

Minimally invasiveness and accuracy are the aim of modern hepatobiliary surgery. Under the guidance of this concept, laparoscopic hepatectomy turns to be more mature and standardized. However, there are still some limitations for laparoscopy. Indocyanine green fluorescence imaging technique can accurately locate tumors, mapping liver segments, and display biliary tract. It is an effective real-time tool to guide the parenchymal transection accurately during operation. It can also detect small lesions and bile leakage. Indocyanine green fluorescence imaging technique makes up the limitations of laparoscopic surgery, providing better conditions for accurate surgery. In this paper, we summarized the application of indocyanine green fluorescence imaging technique in laparoscopic hepatectomy.