光导向胸腔镜手术术术后胸部:一个技术说明与视频图片
Tzu-Wei Kuo1, Shih-Kang Tseng1, Pin-Li Chou1
1Division of Thoracic Surgery, Chang Gung Memorial Hospital at Linkou, Chang Gung University College of Medicine, Taoyuan, Taiwan.
Asian journal of surgery
|March 26, 2024
概括
一种新的光指导技术使用绿色氨酸 (ICG) 有效地识别胸腔管 (TD) 解剖学和泄漏部位,在手术中用于胸腔. 这种方法有助于精确的绑定,并证实了淋巴关闭的成功.
科学领域:
- 胸部外科手术 胸部外科手术
- 手术创新 在外科创新.
- 医疗成像医学成像
背景情况:
- 术后胆胸部管理通常涉及胸腔管 (TD) 绑定,但由于解剖学变异和组织损伤,识别泄漏部位可能很困难.
- 在修复手术中定位TD和泄漏点的现有方法具有挑战性.
研究的目的:
- 引入和评估一种新的光导向技术,用于在手术期间识别胸管 (TD) 和胸泄漏部位.
- 为了提高耐火性胆胸外科手术管理的精度.
主要方法:
- 开发了一种以光为导向的技术,利用青素 (ICG) 的内淋巴注射.
- 在手术前20分钟内进行了ICG (2.5 mg/mL) 的超声导向双边 inguinal 淋巴结注射.
- 胸腔镜探测利用明亮光和光模式来可视化TD和泄漏点.
主要成果:
- 光指导的方法精确地确定了在右侧胸部区域的胆胸部泄漏.
- 胸腔管道 (TD) 清晰可视化,并结合导致光淋巴泄漏的停止.
- 患者接受了成功的手术,在术后的第三天恢复了口服,并没有复发而出院.
结论:
- 淋巴内部ICG注射提供了TD解剖学的快速可视化,并有效地识别泄漏点,即使在痕组织中.
- 这种技术为淋巴结构绑定成功提供了即时的反.
- 以光为指导的方法在管理复杂的胸病例方面取得了重大进展.
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