使用绿色氨酸的细分支气管标记方法,用于安全的胸腔镜细分切除术:一个单中心的早期经验
Satoshi Takamori1,2, Marina Nakatsuka2, Hikaru Watanabe1
1Department of Surgery II, Faculty of Medicine, Yamagata University, Iida-Nishi, Yamagata, Japan.
Journal of thoracic disease
|June 18, 2025
概括
使用绿色氨酸 (ICG) 进行细分支气管的术前标记,可提高胸腔镜细分切除术的精度. 这种安全可行的技术有助于手术内识别,特别是复杂的肺切除.
科学领域:
- 胸部外科手术 胸部外科手术
- 手术瘤学手术瘤学
- 最少侵入性手术的方法
背景情况:
- 分段切除术是小肺癌和转移的标准手术.
- 复杂的断片切除术是具有挑战性的,因为深层状结构和解剖学变异.
- 在分段切除术期间,手术内支气管误认是风险.
研究的目的:
- 调查胸腔镜细分切除术的安全性和结果,使用手术前用绿色氨酸 (ICG) 标记细分支气管.
- 评估ICG标记的可行性,以提高分段切除术的精度.
主要方法:
- 对接受胸腔镜分片切除术的患者的回顾性分析 (2023年4月 - 2025年1月).
- 分段支气管标记在手术前使用ICG通过支气管镜进行.
- ICG光用于在手术期间识别目标细分支气管.
主要成果:
- 44名患者接受了胸腔镜分片切除术,并进行支气管标记.
- 没有观察到与ICG标记相关的不良事件或并发症.
- 一名患者 (2.3%) 在计划和执行的细分切除术之间存在差异.
结论:
- 用ICG进行细分支气管标记是一种安全且可行的手术内识别方法.
- 这种技术可以提高胸腔镜分片切除术的精度,特别是在复杂的病例中.
- ICG标记为具有挑战性的细分切除术提供了一个有价值的工具.
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