使用三维胸腔镜识别胸腔导管与在最少侵入性食道切除术期间的氨酸绿色光相比:一项回顾性队列研究
Saiguang Ji1, Fuchen Xing1, Hai Zhou1
1Department of Thoracic Surgery, The Second Hospital of Nanjing, Nanjing University of Chinese Medicine, Nanjing, China.
Journal of thoracic disease
|January 20, 2025
概括
绿色氨酸 (ICG) 光和3D胸腔镜对于在微创食道切除术 (MIE) 期间识别胸腔管 (TD) 有效. 这两种方法都是安全的,足以防止TD伤害,ICG显示的识别率略高.
科学领域:
- 手术瘤学手术瘤学
- 最少侵入性的手术
- 胸部外科手术 胸部外科手术
背景情况:
- 胸是食道切除术后的一个重大并发症,突出了需要精确的胸管 (TD) 识别的需要.
- 了解TD形态对于在食道癌手术期间预防手术内伤害至关重要.
研究的目的:
- 为了比较印氨酸绿色 (ICG) 光与3D胸腔镜在最小侵入性食道切除术 (MIE) 期间用于TD识别的安全性和有效性.
主要方法:
- 对354名因食道癌而接受MIE的患者进行了回顾性分析.
- 患者被分为两个组:ICG光 (n=179) 和3D胸腔镜 (n=175).
- 在手术期间的TD识别率,手术时间,血流,排水和术后并发症的比较.
主要成果:
- 在两组中,手术内TD识别率都很高 (ICG:98.9%,3D:96.0%),没有显著差异.
- 手术时间,血液流失,胸管排水和术后住院时间在各组之间相似 (P>0.05).
- ICG组在预防TD结合相关并发症方面表现出卓越的疗效,没有观察到ICG特定的副作用.
结论:
- 两种ICG导向光和3D胸腔镜都是安全和足够的方法,可以在MIE期间实时识别TD.
- 这些技术是预防食道癌手术中TD损伤的宝贵工具.
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