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ICG荧光反染法腹腔镜解剖性肝S7切除术的近期疗效

刘建军 黄滔滔 朱晋锋 曾幸之 王文儿

肝胆胰外科杂志2025,Vol.37Issue(5):303-306,4.
肝胆胰外科杂志2025,Vol.37Issue(5):303-306,4.DOI:10.11952/j.issn.1007-1954.2025.05.003

ICG荧光反染法腹腔镜解剖性肝S7切除术的近期疗效

Short-term effect of laparoscopic anatomical S7 hepatectomy with indocyanine green fluorescence negative staining

刘建军 1黄滔滔 1朱晋锋 1曾幸之 1王文儿2

作者信息

  • 1. 长沙市第四医院/长沙市中西医结合医院/湖南师范大学附属长沙医院肝胆胰外科,湖南 长沙 410006
  • 2. 长沙市第四医院/长沙市中西医结合医院/湖南师范大学附属长沙医院肝胆胰外科,湖南 长沙 410006||湘西自治州人民医院/吉首大学第一附属医院肝胆外科,湖南吉首 416000
  • 折叠

摘要

Abstract

Objective To study the short-term effect of indocyanine green(ICG)fluorescence negative staining method in laparoscopic anatomical S7 hepatectomy.Methods The clinical data of 9 patients,who underwent laparoscopic anatomical S7 hepatectomy with ICG fluorescence negative staining in Xiangxi Autonomous Prefecture People's Hospital and the Fourth Hospital of Changsha between Dec.2021 and Dec.2023,were retrospectively collected.Results Among the 9 patients,5 cases of hepatocellular carcinoma,2 cases of metastatic liver cancer,1 case of liver adenoma,and 1 case of focal nodular hyperplasia in the liver.All patients successfully completed laparoscopic anatomical S7 hepatectomy with ICG fluorescence negative staining,with no case of perioperative deaths,no case of conversion to open surgery.During the operation,right half liver inflow blood flow blockade method was used.The median intraoperative blocking time was 73.9 min,the median operation time was 218.6 min,the median intraoperative blood loss was 450 mL,and there were no case of intraoperative blood transfusion.The median postoperative hospitalization time was 6.4 d.Three cases experienced postoperative complications and recovered after active treatment.All 9 patients were followed-up for 3.1 to 6.0 months,with a median follow-up time of 5.1 months;till to Jun.2024,all patients were alive with no tumor recurrence.Conclusion Laparoscopic anatomical S7 hepatectomy with ICG fluorescence negative staining method is safe and feasible,and the recent postoperative effect are definite.

关键词

吲哚菁绿/荧光反染法/解剖性肝段切除术/肝S7/腹腔镜手术/近期疗效

Key words

indocyanine green/fluorescence negative staining/anatomical S7 hepatectomy/liver segment 7/laparoscopy/recent effect

分类

临床医学

引用本文复制引用

刘建军,黄滔滔,朱晋锋,曾幸之,王文儿..ICG荧光反染法腹腔镜解剖性肝S7切除术的近期疗效[J].肝胆胰外科杂志,2025,37(5):303-306,4.

基金项目

湖南省卫健委课题项目(202204014693). (202204014693)

肝胆胰外科杂志

1007-1954

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