局解手术学杂志2025，Vol.34Issue(4)：337-341,5.DOI:10.11659/jjssx.10E024045
4K荧光单孔胸腔镜解剖性肺段切除术在肺小结节中的应用
Application of 4K fluorescence single-port thoracoscopic anatomical segmentectomy in small pulmonary nodules
摘要
Abstract
Objective To analyze the feasibility and advantage of indocyanine green(ICG)fluorescence imaging technique in the thoracoscopic anatomical segmentectomy.Methods Patients with small pulmonary nodules who underwent thoracoscopic anatomical segmentectomy in our department from January 2023 to June 2024 were selected and divided into the ICG fluorescence group(35 cases determining intersegmental plane through ICG fluorescence imaging method)and the modified inflation-deflation group(42 cases determining intersegmental plane through modified inflation-deflation method)according to different methods of determining intersegmental plane.The surgery-related indicators including time of intersegmental plane occurrence,operation time,number of lymph node dissection,postoperative duration of chest tube and postoperative hospital stay as well as the occurrence of complications in the two groups were counted.Patients over 60 years old in two groups were selected and the differences in surgery-related indicators were analyzed.Results The time of intersegmental plane occurrence and operation time in the ICG fluorescence group were shorter than those in the modified inflation-deflation group,with statistically significant differences(P<0.05).There was no significant difference in the number of lymph node dissection,postoperative duration of chest tube or postoperative hospital stay between the two groups(P>0.05).There was no significant difference in the incidence of postoperative complications between the two groups(P>0.05).The time of intersegmental plane occurrence,operation time and postoperative hospital stay of patients over 60 years old in the ICG fluorescence group were shorter than those in the modified inflation-deflation group,with statistically significant differences(P<0.05).Conclusion ICG fluorescence imaging method can display the intersegmental plane clearly and quickly,which can shorten the time of intersegmental plane occurrence and hospital stay in elderly patients with pulmonary nodules.关键词
吲哚菁绿/胸腔镜/肺段切除术/改良膨胀萎陷法Key words
indocyanine green/thoracoscopy/segmentectomy/modified inflation-deflation method分类
医药卫生引用本文复制引用
汪志海,林苗苗,杨坤,耿耿,陶勇..4K荧光单孔胸腔镜解剖性肺段切除术在肺小结节中的应用[J].局解手术学杂志,2025,34(4):337-341,5.基金项目
芜湖市卫生健康委科研项目(WHWJ2021y047) （WHWJ2021y047）
