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吲哚菁绿近红外光成像在腹腔镜胃癌根治术中的临床价值

李 苏明, 杨 扣, 杨 亦婷, 刘省 存*

摘要

目的:分析吲哚菁绿(ICG)近红外光成像技术在腹腔镜胃癌根治术中的临床价值。方法:选取2022年5月—2024年5月于安徽医科大学第一附属医院的行腹腔镜胃癌根治手术的胃癌患者110例,分为对照组(N=55)和ICG组(N=55)。对照组行常规腹腔镜胃癌根治术,ICG组行ICG近红外光成像系统下腹腔镜胃癌根治术治疗。对比分析两组手术相关指标、淋巴结清扫和阳性淋巴结检出数量、术后并发症发生率。结果:ICG组总阳性淋巴结检出数、总淋巴结清扫数显著高于对照组,具有显著统计学差异(P<0.05);两组术中出血量、手术用时、首次排气时间、首次下床时间、术后住院时间及术后并发症发生率(十二指肠残端漏、吻合口漏、吻合口出血、胃瘫、肠梗阻、感染)比较,差异无统计学意义(P>0.05)。结论:腹腔镜胃癌根治术中应用ICG近红外光技术可以增加淋巴结清扫数量,且对手术质量及患者术后快速康复无不良影响,具有临床推广潜力。

关键词

吲哚菁绿;近红外光成像;胃癌;腹腔镜;淋巴结清扫

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参考

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