Application of ultrasound guided percutaneous portal vein puncture indocyanine green positive staining in laparoscopic anaphylectomy of S8 segments of liver
10.3760/cma.j.cn113884-20240721-00221
- VernacularTitle:超声引导下术前经皮门静脉穿刺吲哚菁绿正染法在腹腔镜解剖性肝S8段切除术中的应用
- Author:
Yupeng TANG
1
;
Yao HUANG
;
Jianxing ZENG
;
Jiahui LYU
;
Guangwen LIU
;
Qian LIN
;
Xiaoling YU
;
Yongyi ZENG
Author Information
1. 福建医科大学孟超肝胆医院肝胆胰外科，福州 350001
- Publication Type:Journal Article
- Keywords:
Carcinoma, Hepatocyte;
Ultrasonic guidance;
Laparoscopy;
Anatomic S8 hepatectomy
- From:
Chinese Journal of Hepatobiliary Surgery
2024;30(12):881-885
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the value of ultrasound guided preoperative percutaneous portal vein puncture indocyanine green (ICG) in laparoscopic anatomic liver S8 resection.Methods:The clinical data of 15 patients with hepatocellular carcinoma who underwent laparoscopic anabolic S8 hepatectomy in Mengchao Hepatobiliary Hospital of Fujian Medical University from January 2023 to December 2023 were retrospectively analyzed, including 13 males and 2 females with the age of (57.77±11.53) years. Clinical data such as China liver cancer staging (CNLC), target portal vein puncture operation time, operation time, intraoperative blood loss, postoperative complications and perioperative death were recorded.Results:Among the 15 patients, 11 were CNLC Ia stage and 4 were CNLC Ib stage. The operation time of target portal vein puncture for the 15 patients was (11.33±4.51) min, and they all successfully completed percutaneous portal vein puncture ICG fluorescence injection under ultrasound guidance. However, the dyeing effect was not up to expectations for 2 patients. All patients completed laparoscopic anatomical resection of the liver S8 segment, including 6 cases of resection of the liver S8 segment, 8 cases of resection of the posterior segment of the liver S8 segment, and 1 case of resection of the anterior segment of the liver S8 segment. The operative time of laparoscopic anabolic S8 hepatectomy was 181.3 (119.0, 237.0) min, the intraoperative blood loss was 203.3 (100.0, 300.0) ml, there was no intraoperative blood transfusion, and the postoperative hospital stay was (12.00±3.88) d. No positive surgical margin was found in postoperative pathology, and the tumor diameter of 15 patients was (3.29±1.10) cm. No complications of Clavien-Dindo grade Ⅲ or above occurred after surgery, and no perioperative death occurred, and only 1 patient developed pulmonary infection after surgery.Conclusion:Preoperative ultrasound-guided percutaneous portal vein puncture ICG can effectively assist laparoscopic anatomic S8 hepatectomy in patients with hepatocellular carcinoma.
