Clinical analysis of indocyanine green fluorescence laparo-scopic lateral lymph node dissection in middle and low rec-tal cancer
10.3969/j.issn.1009-9905.2024.05.009
- VernacularTitle:吲哚菁绿荧光腹腔镜侧方淋巴结清除术在中低位直肠癌中的临床疗效
- Author:
Yang YANG
1
;
Xin-Chen WANG
;
Yuan-Yao ZHANG
;
Zhi-Wei LIU
;
Si-Yuan WANG
;
Dong WEI
Author Information
1. 联勤保障部队第九八九医院全军肛肠外科研究所 结直肠外科(河南 洛阳 471031)
- Keywords:
Rectal carcinoma;
Indocyanine green;
Fluorescence;
Lateral lymph nodes;
Laparo-scope
- From:
Chinese Journal of Current Advances in General Surgery
2024;27(5):377-381
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the application value of indocyanine green fluorescence laparoscopic lateral lymph node dissection(LLND)in the treatment of middle and low rectal can-cer.Methods:Clinical data of 76 patients with middle and low rectal cancer who underwent surgi-cal treatment from February 2018 to June 2020 were retrospectively analyzed,including 42 patients in the TME group who underwent laparoscopic total mesorectal resection and 34 patients in the TME+LLND group who underwent laparoscopic TME combined with indocyanine green fluores-cence LLND.Results:The operation time of TME+LLND group was longer than that of TME group(P＜0.001).Compared with TME group,the total number of lymph nodes dissected in TME+LLND group was higher(P＜0.05).In the TME+LLND group,7 cases(20.59％)reported lateral lymph node metastasis.After 3 years of follow-up,the local recurrence rate was 2.94％in TME+LLND group and 19.05％in TME group(P＜0.05).The distant metastasis rate was 14.71％in the TME+LLND group and 9.52％in the TME group(P＞0.05).Conclusion:Indocyanine green fluorescence laparoscopic LLND can reduce the local recurrence rate and does not increase postoperative com-plications,so it is safe,effective and feasible in the treatment of middle and low rectal cancer.
