Feasibility and efficacy of indocyanine green used in laparoscopic gastrectomy for advanced gastric cancer patients
10.3760／cma.j.issn.0253?3766.2019.12.005
- VernacularTitle:吲哚菁绿在进展期胃癌腹腔镜手术中的安全性和有效性
- Author:
Shuai MA
1
;
Yibin XIE
;
Hongmei ZENG
;
Quan XU
;
Yuxin ZHONG
;
Hao LIU
;
Fuhai MA
;
Fei ZHAO
;
Huan LI
;
Yang LI
;
Yantao TIAN
Author Information
1. 国家癌症中心国家肿瘤临床医学研究中心中国医学科学院北京协和医学院肿瘤医院胰胃外科100021
- Keywords:
Gastric neoplasms;
Indocyanine green;
Lymphadenectomy
- From:
Chinese Journal of Oncology
2019;41(12):904-908
- CountryChina
- Language:Chinese
-
Abstract:
Objective To identify the feasibility and efficacy of indocyanine green ( ICG) used in laparoscopic gastrectomy for advanced gastric cancer patients. Methods From December 2018 to August 2019, the clinical data of 82 patients preoperatively diagnosed as advanced gastric cancer undergoing laparoscopic radical gastrectomy were retrospectively analyzed. These patients were divided into ICG group (n＝38) and a historical control group (non?ICG group, n＝44). The number of retrieved lymph nodes, operation time, blood loss, hospital stay, fever time, evacuation time and complications were compared between these two groups. Results The operation time [(172.8±45.8) min vs (162.6±45.7) min], blood loss [(80.1±91.9) ml vs (78.6±89.8) ml], hospital stay [(7.0±2.0) d vs (7.5±2.4) d], fever time [(2.3± 1.2) d vs (2.9±1.9) d], evacuation time [(3.4±0.8) d vs (3.4±1.1) d] and incidence of complications (5.3%vs 9.1%) were not significantly different between the ICG and historical control groups (P＞0.05).The number of retrieved lymph nodes in ICG group was significantly increased compared with that of the historical control group (46.5 vs 33.0, P＝0.005). Conclusions The ICG method applied in lymph node dissection of laparoscopic radical gastrectomy is safe.Moreover, ICG might elevate the efficiency of regional lymph node dissection.
