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通过门进行内镜微手术,使用光淋巴血管学

Kseniia Vorotyntseva¹, Vladymyr Grubnik², Viktor Grubnyk²

¹Department of Surgery, Radiation Diagnostics, Radiation Medicine, Therapy and Oncology, Odessa National Medical University, Valikhovsky Lane 2, Odesa, 65082, Ukraine. drvorotyntseva@ukr.net.

Surgical endoscopy

|August 11, 2025

概括

过门内显微手术 (TEM) 是早期直肠癌的最小侵入性选择. 添加光淋巴血管学 (ICG) 光淋巴血管学有助于检测淋巴结转移,指导进一步的治疗决策.

科学领域:

手术瘤学手术瘤学
最少侵入性的手术
诊断成像诊断成像诊断成像

背景情况:

过内显微手术 (TEM) 是对早期直肠癌的一种微创手术选择.
对TEM的一个关键限制是中直肠淋巴结中未检测到的转移的可能性.

研究的目的:

评估在TEM期间检测哨戒淋巴结时使用光淋巴血管学 (ICG) 的可行性和临床价值.
为了提高早期直肠癌患者进行TEM的分期的准确性.

主要方法:

95名患有早期直肠癌的患者使用刚性直肠镜平台进行了TEM.
绿色的印ocyanine (ICG) 被注射在瘤周围的膜下,在MRI中扩大了中直肠节点的患者中.
用腹腔镜近红外观察识别了哨兵淋巴结,并通过手术切除以进行病理分析.

主要成果:

哨兵淋巴结映射在23名患者中取得了成功,在6例 (26.1%) 病例中识别了隐性转移.
检测到转移的患者被推进行彻底切除,用全腹膜切除 (TME) 或化疗.
随访显示T1-T2瘤的局部复发率为5.4%,下降阶段T3瘤为12.8%.

结论:

过内显微手术 (TEM) 为早期直肠癌提供了一种安全和最少的侵入性方法.
印ocyanine绿色 (ICG) 淋巴血管学增强了中直肠淋巴结转移的检测.
这项技术有助于识别可能受益于额外激进手术 (TME) 的患者.

关键词:

结肠直肠外科手术是什么意思印度氨酸绿色是绿色的最少的侵入性手术是最少的侵入性手术.生活质量生活的质量.这是直肠癌.通过门进行内镜微手术.

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