Clinical application of fusion indocyanine green fluorescence imaging in total laparoscopic radical resection for right colon cancer
10.3760/cma.j.issn.0253?3766.2019.09.003
- VernacularTitle:吲哚菁绿荧光融合影像技术在完全腹腔镜右半结肠癌根治术中的应用
- Author:
Hao SU
1
;
Mandula BAO
;
Peng WANG
;
Xuewei WANG
;
Chuanduo ZHAO
;
Jianwei LIANG
;
Qian LIU
;
Xishan WANG
;
Zhixiang ZHOU
;
Haitao ZHOU
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结直肠外科100021
- Keywords:
Colon neoplasms;
Indocyanine green;
Fluorescence imaging;
Total laparoscopic surgery
- From:
Chinese Journal of Oncology
2019;41(9):654-658
- CountryChina
- Language:Chinese
-
Abstract:
Objective This study aims to explore the clinical value of fusion indocyanine green fluorescence imaging (FIGFI) in total laparoscopic radical resection for right colon cancer. Methods From October, 2018 to December, 2018, 15 patients who underwent total laparoscopic radical resection for right colon cancer using FIGFI in Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College were retrospectively enrolled in this study. Data regarding surgical outcomes, postoperative recovery, pathological outcomes and complications were collected and analyzed. Results All patients successfully underwent total laparoscopic radical resection for right colon cancer using FIGFI. 1 patients (6.7%) received extended resection of bowel due to poor blood supply after mesentery excision. The average operation time was 133.7 minutes and intraoperative blood loss was 26.7 ml. The average time to ground activities, fluid diet intake, first flatus and postoperative hospitalization were 19.1 h, 11.7 h, 32.5 h and 5.0 d, respectively. The average length of tumor was 4.5 cm. The average proximal and distal resection margins were 14.9 cm and 12.1 cm, respectively. The average number of lymph nodes retrieved was 29.3 per patient. Only one patient suffered from incisional fat liquefaction after surgery and was managed effectively by regular dressing change. No severe complications such as indocyanine green allergy, anastomotic stenosis, anastomotic leakage, abdominal bleeding, bowel obstruction, pulmonary infection, and abdominal infection occurred in any patients. Conclusions FIGFI is helpful to judge the blood supply of intestinal segments and anastomotic stoma in total laparoscopic radical resection for right colon cancer quickly. It is a safe and feasible technique with satisfactory short?term effect.
