摘要
中低位直肠癌的侧方淋巴结清扫(LLND)是一个热点和难点,东西方的治疗策略也一直有很大的区别。由于LLND存在不确定的肿瘤学效果和并发症高发生率,如何将其变得个体化、简单化,成为近年来的研究热点之一。目前吲哚菁绿(ICG)已经广泛应用于检测各种类型恶性肿瘤中转移性淋巴结,然而国内少有采用吲哚菁绿荧光造影(ICG-FI)辅助腹腔镜行LLND的报道。本中心采用ICG-FI辅助腹腔镜对5例中低位直肠癌患者行选择性、个体化LLND,术中淋巴结的识别效果显著,清扫简单化,术后淋巴结检出率增加。
Lateral lymph node dissection(LLND)of low-grade rectal cancer is a hot and difficult point,and there has been a great difference in treatment strategies between the East and the West.Due to the uncertain oncology effect and high incidence of complications in LLND,how to make it individualized and simplified has become one of the research hotspots in recent years.At present,indocyanine green(ICG)has been widely used to detect metastatic lymph nodes in various types of malignant tumors.However,there are few reports of indocyanine green fluorescence contrast(ICG-FI)-assisted laparoscopic LLND in China.In our center,ICG-FI-assisted laparoscopy was used to identify lymph nodes in 5 patients with low-grade rectal cancer by selective and individualized LLND,the recognition effect of lymph nodes during operation was significant,which simplified the dissection and increased the detection rate of lymph nodes after operation.
作者
杜瑞
周家杰
王峰
李东亮
佟贵繁
丁旭
张琪
王伟
汪刘华
汤东
王道荣
Du Rui;Zhou Jiajie;Wang Feng;Li Dongliang;Tong Guifan;Ding Xu;Zhang Qi;Wang Wei;Wang Liuhua;Tang Dong;Wang Daorong(Graduate School,Dalian Medical University,Dalian 116044,China;Graduate School,Medical College of Yangzhou University,Yangzhou 225001,China;Medical College of Yangzhou University,Department of Gastrointestinal Surgery,Northern Jiangsu People's Hospital,General Surgery Institute of Yangzhou-Yangzhou University,Yangzhou 225001,China)
出处
《中华结直肠疾病电子杂志》
2021年第2期211-215,共5页
Chinese Journal of Colorectal Diseases(Electronic Edition)
基金
江苏省重点病种规范化诊疗项目(No.BE2015664)
扬州市十三五科教强卫临床医学中心(省市共建项目No.XKC201801)。
关键词
直肠肿瘤
全直肠系膜切除术
侧方淋巴结清扫
吲哚菁绿
腹腔镜
Rectal neoplasms
Total mesorectal excision
Lateral lymph node dissection
Indocyanine green
Laparoscopy
