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Personalized laparoscopic radical resection of gallbladder cancer by staining of the liver draining area through ICG injection into the cholecystic artery

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摘要 Gallbladder cancer(GBC)is a common malignant tumor often diagnosed in advanced stages.Surgery is among the most important treatments for GBC.Radical resection of GBC involves removal of the gallbladder and the gallbladder bed[liver segments(S)4b and 5],and hepatoduodenal ligament regional lymphadenectomy.The main GBC metastasis modes are blood and lymph node metastases.The scope of resection/wedge resection or regular S4b and S5 hepatectomy for blood metastasis is a matter of debate.A variety of hepatectomy methods have been proposed for T2 stage GBC,but no consensus has been reached regarding the scope of radical resection.Currently,the liver resection range is determined by branches of the portal vein.S4b and S5 hepatectomy is determined according to the liver portal vein branch perfusion area,but the rationale for liver resection for GBC is to eliminate potential metastasis from the cystic vein reflux area to the liver.In the case described herein,we used a novel technique and theoretical framework to conduct laparoscopic radical resection of gallbladder cancer(LRRGC)facilitated by staining of the liver draining area with an indocyanine green(ICG)injection into the cholecystic artery.
出处 《Cancer Biology & Medicine》 SCIE CAS CSCD 2024年第10期844-848,共5页 癌症生物学与医学(英文版)
基金 supported by grants from Tianjin Medical University Cancer Hospital,Precision Treatment Technology Construction Project for Cancer Surgery(Grant No.ZLWKJZZL14) from Zhongguancun Precision Medicine Foundation,Medical and Health Public Welfare-Cancer Medical Research Special Project(Grant No.ZGC-YXKYZL004).
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