腹腔镜肝肿瘤手术中吲哚菁绿荧光成像质量影响因素探讨

Influencing factors of indocyanine green fluorescence imaging quality in laparoscopic liver tumor surgery

随着吲哚菁绿(ICG)荧光成像技术近年来在腹腔镜肝切除中的应用,术中肝肿瘤切缘及肝段边界高度可视化成为可能。然而,尽管该技术在肝肿瘤手术领域中应用已渐趋成熟,其荧光成像质量相关的影响因素仍未完全明确。本文综述了现有肝切除ICG染色相关文献,分析总结了ICG给药方案、成像获取、患者肿瘤特性及术前肝功能指标等不同因素对术中ICG成像质量的影响,以期为临床及相关研究提供参考。

Indocyanine green(ICG)fluorescence imaging technology has been applied in laparoscopic surgery.It is possible to highly visualize the tumor cutting edge and liver segment boundary during laparoscopic hepatectomy.Although the application of this technique in liver tumor surgery has become more and more mature,the factors affecting the quality of fluorescence imaging are still not completely clear.In this paper,we analyzed and summarized the effects of different factors such as ICG administration scheme,imaging acquisition,tumor characteristics of patients and preoperative liver function indexes on the quality of intraoperative ICG imaging,in order to provide new ideas and practical experience for clinical practice and research.