Application value and difficulty analysis of fluorescence laparoscopy in lymphadenectomy of gastric cancer.
10.3760/cma.j.cn441530-20220111-00019
- VernacularTitle:荧光腹腔镜在胃癌淋巴结清扫中的应用价值及难点剖析
- Author:
Tian Yi CAI
1
;
Feng Lin LIU
1
Author Information
1. Department of General Surgery, Zhongshan Hospital, Fudan University, Shanghai 200032, China.
- Publication Type:Journal Article
- Keywords:
Fluorescent laparoscopy;
Gastric neoplasms;
Indocyanine green;
Lymphadenectomy
- MeSH:
Coloring Agents;
Gastrectomy;
Humans;
Indocyanine Green;
Laparoscopy;
Lymph Node Excision/methods*;
Lymph Nodes/pathology*;
Sentinel Lymph Node Biopsy/methods*;
Stomach Neoplasms/surgery*
- From:
Chinese Journal of Gastrointestinal Surgery
2022;25(4):295-299
- CountryChina
- Language:Chinese
-
Abstract:
Gastric cancer is one of the most common gastrointestinal malignancies, and the incidence and mortality of gastric cancer remain high in China. In recent years, with the rapid popularization of laparoscopic technology, fluorescent laparoscopic technology is increasingly getting mature, providing a new method for accurate clinical tracing of lymph nodes and prediction of tumor metastasis lymph nodes. A large number of scientific research experiments and clinical trials have shown that, laparoscopic lymph node diagnosis technology based on the fluorescent indocyanine green (ICG) can significantly improve the efficiency of lymphadenectomy and prediction accuracy of lymph node metastasis, and can reveal a more accurate scope of lymphadenectomy in gastric cancer for surgeons, so as to avoid excessive adenectomy as well as iatrogenic injuries on patients. Although the status of the technology in gastric cancer surgery mentioned above continues improving, the overall operation process details of ICG fluorescence imaging, standardized fluorescence detecting equipment, and postoperative pathological examination process still need to be further optimized.
