吲哚菁绿成像技术在保留左结肠动脉的直肠癌根治术中的应用价值  

The value of indocyanine green imaging technique in radical resection of rectal cancer with left colonic artery preserved

作　　者：肖建 肖天保 陈江 杨桃 何峰 保甜甜 曹一波 杨琴 赵颖 Xiao Jian;Xiao Tianbao;Chen Jiang;Yang Tao;He Feng;Bao Tiantian;Cao Yibo;Yang Qin;ZhaoYing(Guizhou University of Traditional Chinese Medicine1,Guiyang Guizhou Province 550005,China;Department of Proctology,the First Affiliated Hospital of Guizhou University of Traditional Chinese Medicine,Guiyang Guizhou Province 550001,China)

机构地区：[1]贵州中医药大学,贵阳550005 [2]贵州中医药大学第一附属医院肛肠科,贵阳550001

出　　处：《中华普外科手术学杂志(电子版)》2025年第2期134-137,共4页Chinese Journal of Operative Procedures of General Surgery(Electronic Edition)

基　　金：2022年贵州中医药大学博士启动基金,项目编号:GYZYYFY-BS-2022(01);2023年贵州省基础研究计划(自然科学)项目编号:黔科合基础-ZK〔2023〕)一般437。

摘　　要：目的探讨吲哚菁绿(ICG)成像技术在腹腔镜直肠癌根治术中辅助保留左结肠动脉(LCA)的应用价值。方法回顾性分析2022年4月至2024年1月80例行腹腔镜直肠癌根治术并保留LCA患者资料,根据术式不同分为ICG组(n=40例)和对照组(n=40例)。ICG组用吲哚菁绿显影辅助保留LCA,对照组行常规腹腔镜直肠癌根治术保留LCA。采用软件SPSS26.0分析数据,两组患者围手术期等计量资料以(±s)表示,采用独立样本t检验;术后并发症、左结肠动脉保留率等计数资料采用χ^(2)检验。P<0.05为差异有统计学意义。结果ICG组患者术中出血量、术后肠鸣音恢复时间、住院时间均低于对照组,LCA保留成功率、总淋巴结及253组淋巴结清扫数均大于对照组,差异均有统计学意义(P<0.05);两组患者手术时间、253组淋巴结转移率、术后并发症发生率,差异均无统计学意义(P>0.05)。结论吲哚菁绿成像技术可提高LCA保留成功率,增加淋巴结清扫率,降低术中出血量,具有推广的价值。Objective To investigate the application value of indocyanine green(ICG)imaging technique in the preservation of left colic artery(LCA)during laparoscopic radical resection of rectal cancer.Method The data of 80 patients with LCA who underwent laparoscopic radical resection for rectal cancer from April 2022 to January 2024 were retrospectively analyzed and divided into ICG group(n=40 cases)and control group(n=40 cases)according to different operation methods.The ICG group was assisted by indocyanine green development to preserve LCA,while the control group underwent conventional laparoscopic radical resection of rectal cancer to preserve LCA.SPSS26.0 software was used to analyze the data.The perioperative period and other measurement data of the two groups were expressed as(±s),and independent sample t test was used.Postoperative complications and left colic artery retention rate were measured byχ^(2)test.P<0.05 was considered statistically significant.Results The intraoperative blood loss,postoperative bowel sound recovery time and hospital stay in ICG group were lower than those in control group,and the success rate of LCA retention,total lymph nodes and the number of lymph nodes dissection in group 253 were higher than those in control group,with statistical significance(P<0.05).There were no significant differences in operation time,lymph node metastasis rate and postoperative complication rate between 2 groups(P>0.05).Conclusion Indocyanine green imaging technology can improve the success rate of LCA retention,increase the lymph node clearance rate,reduce the amount of intraoperative blood loss,and has the value of popularization.

关 键 词：直肠肿瘤 直肠癌根治术 腹腔镜 吲哚菁绿 左结肠动脉 淋巴结清扫 

分 类 号：R73[医药卫生—肿瘤]