中国普通外科杂志2024，Vol.33Issue(7)：1043-1050,8.DOI:10.7659/j.issn.1005-6947.2024.07.003
穿刺正染ICG荧光导航腹腔镜解剖性肝Ⅶ段切除术1例报告(附视频)
A case report on laparoscopic anatomical liver segment Ⅶresection with ICG fluorescence-guided puncture positive staining(with video)
摘要
Abstract
Background and Aims:Laparoscopic anatomical liver resection has become the main surgical approach for space-occupying lesions located in segment Ⅶ(S7)of the posterior lobe of the liver.However,due to the complex anatomical structure of the S7 hepatic pedicle,there may be ischemic lines on the liver surface,but a lack of effective guidance within the liver parenchyma.Given this,our team adopted indocyanine green(ICG)fluorescence-guided puncture positive staining technique for laparoscopic anatomical liver S7 resection.This paper reports on this technique. Methods:The clinical data of one patient who underwent laparoscopic anatomical liver S7 resection using the ICG fluorescence-guided puncture positive staining technique in the Department of Hepatobiliary Surgery,Second Affiliated Hospital of Army Medical University were retrospectively analyzed. Results:Following successful preoperative 3D reconstruction simulation to obtain the ICG fluorescent staining region of liver S7,an anatomical liver S7 resection was performed using a caudal approach.During surgery,the liver was transected along the fluorescent boundary and the right hepatic vein,with sequential division of the S7 portal vein(P7)and tributaries of the right hepatic vein from S7.The patient recovered well after surgery,and one month later,an abdominal ultrasound review showed that liver S7 had been resected with no signs of tumor recurrence. Conclusion:The ICG fluorescence-guided puncture positive staining technique provides excellent assistance in laparoscopic anatomical liver S7 resection,improving surgical safety and ensuringR0 resection margins.关键词
肝切除术/腹腔镜/吲哚花青绿Key words
Hepatectomy/Laparoscopes/Indocyanine Green分类
医药卫生引用本文复制引用
王峥,尤楠,贺永刚,艾麦提·牙森,郑璐..穿刺正染ICG荧光导航腹腔镜解剖性肝Ⅶ段切除术1例报告(附视频)[J].中国普通外科杂志,2024,33(7):1043-1050,8.基金项目
重庆市科卫联合医学科研项目面上基金资助项目(2023MSXM004) （2023MSXM004）
中国人民解放军陆军军医大学科技创新能力提升专项基金资助项目(2022XJS20) （2022XJS20）
中国人民解放军陆军军医大学第二附属医院青年博士人才孵化计划基金资助项目(2022YQB031). （2022YQB031）
