吲哚菁绿引导下的腹腔镜右半结肠完整结肠系膜切除术层面解析与团队配合  

Team collaboration and membrane layer analysis of laparoscopic complete mesocolic excision for right-sided colon cancer guided by indocyanine green

作　　者：李立威[1] 赵志铭 孙凌宇[2] 田德操 白明瀚[2] 郑宏群[2] Li Liwei;Zhao Zhiming;Sun Lingyu;Tian Decao;Bai Minghan;Zheng Hongqun(Department of General SurgeryⅡ,Suihua First Hospital,Suihua 152000,Heilongjiang,China;Department of Oncology Surgery,The Fourth Affiliated Hospital of Harbin Medical University,Harbin 150000,Heilongjiang,China)

机构地区：[1]绥化市第一医院普外二科,黑龙江绥化152000 [2]哈尔滨医科大学附属第四医院肿瘤外科,黑龙江哈尔滨150000

出　　处：《结直肠肛门外科》2024年第4期428-434,共7页Journal of Colorectal & Anal Surgery

基　　金：黑龙江卫生健康委科技计划(20210404010062)。

摘　　要：完整结肠系膜切除术联合中央血管结扎已成为结肠癌根治手术的标准术式。随着结直肠手术进入微创手术与膜解剖时代,吲哚菁绿近红外光成像技术为肿瘤定位、淋巴结示踪、吻合口血供判断提供了进一步的操作保障,其在腹腔镜完整结肠系膜切除术中得到进一步应用。本文总结了吲哚菁绿引导下的腹腔镜右半结肠完整结肠系膜切除术流程及团队配合要点,对吲哚菁绿对淋巴结示踪和手术层面的判断加以阐述。Complete mesocolic excision(CME)combined with central vascular ligation has become the standard surgical procedure for radical resection of colon cancer.With the advent of minimally invasive surgery and the emphasis on mesocolic plane dissection in colorectal procedures,indocyanine green near-infrared imaging technology offers enhanced capabilities in tumor localization,lymph node tracing,and assessment of anastomotic blood supply.It has been further applied in laparoscopic right hemicolectomy CME surgery.This article summarizes the laparoscopic right hemicolectomy CME surgery process and team collaboration using indocyanine green tracing and elaborates on the use of indocyanine green for lymph node tracing and surgical layer assessment.

关 键 词：结肠癌 完整结肠系膜切除术 膜解剖 吲哚菁绿 手术团队 

分 类 号：R735.3[医药卫生—肿瘤]