吲哚菁绿荧光导航技术在腹腔镜保留十二指肠胰头切除术中的应用进展

Progress in the Application of Indocyanine Green Fluorescence Navigation Technique in Laparoscopic Reserved Duodeno-Pancreaticotomy

随着胰腺头部良性和交界性肿瘤越来越早地被发现,传统的胰十二指肠切除术(PD)已不再适用于临床。21世纪的外科手术已迈向精准治疗,腹腔镜保留十二指肠切除术(LDPPHR)逐渐替代PD作为临床上常用的治疗方式,具有多重优势,但术后并发症的发生率仍然较高,如何降低术后并发症的发生率逐渐成为现在LDPPHR研究的热点之一。本文主要就吲哚菁绿(ICG)荧光导航技术下的LDPPHR降低术后并发症的发生以及对患者远期预后的影响作一综述,为以后ICG在LDPPHR中的临床运用提供一些参考依据。

As benign and borderline tumors in the head of the pancreas are discovered earlier, traditional pancreaticoduodenectomy (PD) is no longer clinically applicable. Surgical operations in the 21st century have moved towards precision treatment. Laparoscopic duodenum-preserving pancreatic head resection (LDPPHR) has gradually replaced PD as a commonly used clinical treatment. It has multiple advantages, but the incidence of postoperative complications is still high. How to reduce the incidence of postoperative complications has gradually become one of the hot spots in LDPPHR research. This article mainly reviews the effect of indocyanine green (ICG) fluorescence navigation technology on LDPPHR to reduce the incidence of postoperative complications and the long-term prognosis of patients, so as to provide some references for the clinical application of ICG in LDPPHR in the future.