吲哚菁绿荧光腹腔镜肾蒂淋巴管结扎术治疗重度乳糜尿1例  

Indocyanine green fluorescence-guided laparoscopic renal pedicle lymphatic disconnection to treat severe chyluria:one case report

作　　者：王慧 刘世雄 李欣 WANG Hui;LIU Shixiong;LI Xin(Department of Urology,Taizhou Central Hospital,Taizhou University Hospital,Taizhou,Zhejiang,318000,China)

机构地区：[1]台州市中心医院台州学院附属医院泌尿外科,浙江台州318000

出　　处：《临床泌尿外科杂志》2023年第3期238-240,共3页Journal of Clinical Urology

摘　　要：腹腔镜肾蒂淋巴管结扎术(LRPLD)是治疗重度乳糜尿的可靠方法,但术后仍有一定的复发率。吲哚菁绿(ICG)具有淋巴趋向特性,有助于肾蒂淋巴系统可视化,本文尝试完成1例ICG-LRPLD,将ICG经外周静脉注射,能便捷、安全、清晰、持久地引导LRPLD进程。随着治疗经验的积累,ICG-LRPLD有望通过更可靠地结扎肾蒂及肾周淋巴管,进一步减少术后复发率。Laparoscopic renal pedicle lymphatic disconnection(LRPLD)is a reliable method for severe chyluria,but there is still recurrence after operation.Indocyanine green(ICG)has a characteristic of lymphatic tendency,which is conducive to the visualization of renal pedicle lymphatic system.Here we reported a case of ICG-LRPLD.Injected through peripheral vein,ICG could guide the LRPLD process conveniently,safely,clearly and continuously in real time.With the accumulation of clinical experience,ICG-LRPLD may further reduce postoperative recurrence by reliably ligation of renal pedicle and perirenal lymphatic vessels.

关 键 词：乳糜尿 吲哚菁绿 荧光腹腔镜 肾蒂淋巴管结扎术 

分 类 号：R696[医药卫生—泌尿科学]