吲哚菁绿荧光融合影像技术在腹腔镜

Use of fusion indocyanine green fluorescence imaging technique in laparoscopic anatomical hepatectomy

目的探索吲哚菁绿荧光融合影像技术在腹腔镜解剖性肝切除术中应用的可行性及效果。方法回顾性分析2017年4月至2018年9月河南省人民医院行腹腔镜解剖性肝切除术的75例患者临床资料。据手术方式分为吲哚菁绿荧光融合影像技术肝切除术(FIGFI-LAH)组(35例)与腹腔镜解剖性肝切除术(LAH)组(40例)。根据术后病理比较两组患者切缘情况。结果术后切缘病理阳性FIGFI-LA H组1例,LAH组9例(x2=4. 649,P =0.031)。两组肝门阻断方式及时间、平均手术时间、术中出血量、输血率、中转开腹率等比较,差异无统计学意义(P>0.05)。结论腹腔镜下肝癌解剖性肝切除术中应用FIGFI技术,能有效降低切缘阳性率。

Objective To evaluate fusion indocyanine green fluorescence imaging in laparoscopic anatomical hepatectomy. Methods The clinical data of 75 liver cancer patients undergoing laparoscopic anatomic hepatectomy (LAH) at the Department of Hepatobiliary and Pancreatic Surgery, Henan Provincial People's Hospital from Apr 2017 to Sep 2018 were retrospectively analyzed. Patients were divided into the indocyanine green fluorescence fusion imaging technique ( FIGFI-LAH) group (35 cases) and laparoscopic anatomical hepatectomy ( LAH) group (40 cases). Results Pathologically positive margin was found in 1 case in FIGFI-LAH group and 9 cases in LAH group ( x2= 4. 649 ,P = 0. 031 ). There were no significant differences in the mean operative time, intraoperative blood loss, blood transfusion rate, and rate of conversion to open surgery (P > 0. 05). Conclusion The use of FIGFI technique in laparoscopic anatomical hepatectomy for liver cancer effectively reduces the positive rate of surgical margin.