Application status of indocyanine green in hepatobiliary laparoscopic surgery

doi:10.3969/j.issn.1009-976X.2022.05.017

Abstract

Abstract: With the development of fluorescence detection technology, the role of indocyanine green （ICG） has evolved from preoperative liver function evaluation to tumor diagnosis, visualization of precancerous lesions and lymphatic vessels, intraoperative tumor detection and precision of guiding surgery. ICG fluorescence guided hepatectomy fundamentally improves the ability of liver anatomy and the quality of surgery, and also improves the safety and accuracy of minimally invasive （laparoscopic and robotic） hepatobiliary surgery. Because ICG fluorescence technology can better display the cancer focus and guide the resection edge away from the tumor boundary, the current hepatobiliary surgery can no longer lack the application of ICG. In view of the fact that the study of ICG related clinical applications has become a hot spot, this article discusses the application status of ICG fluorescence imaging in hepatobiliary surgery.

Key words: indocyanine green, fluorescence imaging, laparoscopic hepatectomy, bile duct

摘要： 随着荧光病变检测技术的发展,吲哚菁绿（ICG）作用已从术前肝功能的评估发展到肿瘤诊断、癌前病变及淋巴管的可视化、术中肿瘤检测及指导手术的精准化。ICG荧光引导的肝脏切除手术从根本上提高了肝脏解剖能力及手术的质量,同时也提高了微创（腹腔镜和机器人）肝胆外科手术的安全性和准确性。由于ICG荧光技术可以更好地显示癌灶,引导切除的边缘远离肿瘤边界,当今的肝胆外科手术已不能缺少ICG的应用。鉴于研究ICG相关临床应用已成为热点,本文讨论了ICG荧光成像在肝胆外科手术中的应用现状。

关键词: 吲哚菁绿, 荧光成像, 腹腔镜肝切除, 胆管

CLC Number:

R657.3

CHEN Qiu-kai, DAI Wei. Application status of indocyanine green in hepatobiliary laparoscopic surgery[J]. Lingnan Modern Clinics In Surgery, 2022, 22(05): 520-525.

陈秋凯, 戴维. 吲哚菁绿在肝胆腹腔镜手术领域中的应用现状[J]. 岭南现代临床外科, 2022, 22(05): 520-525.

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