临床外科杂志 ›› 2018, Vol. 26 ›› Issue (10): 754-756.doi: 10.3969/j.issn.10056483.2018.10.011

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吲哚菁绿显像对减少腹腔镜结直肠癌根治术后吻合口漏的作用

  

  1.    214023  无锡,南京医科大学附属无锡人民医院肛肠科
  • 收稿日期:2018-05-24 出版日期:2018-10-20 发布日期:2018-10-20
  • 通讯作者: 王彤,Email:aanti@163.com

Effect of indocyanine green imaging on decrease the anastomotic fistula after laparoscopic colorectal surgery

  1.   Department of Proctology,Hongqiao Hospital of Wuxi City,Jiangsu Province,Wuxi 214023,China
  • Received:2018-05-24 Online:2018-10-20 Published:2018-10-20

摘要:   目的  观察吲哚菁绿显像在预防腹腔镜结直肠癌根治术后吻合口漏的作用。方法  利用电脑随机数随机选取因结直肠癌行腹腔镜结直肠癌根治术的病人共145例,其中应用吲哚菁绿染色的病人63例(ICG组),应用常规腹腔镜下结直肠癌根治术病人82例(对照组),分别观察手术时间、术中出血量及吻合口漏发生数量和因吻合口漏导致的死亡数量。结果 对照组出现吻合口漏7例(左半切除术2人,右半结肠切除术1人,低位直肠切除术4人),1例因吻合口漏导致死亡。而ICG组仅有1例低位直肠切除术的病人出现了吻合口漏,无病人因吻合口漏导致死亡。两组病人在吻合口漏率发生上存在明显差异(f=2.337,P<0.05)。结论 吲哚菁绿显像可以用于降低腹腔镜结直肠癌术术后吻合口漏的发生率。

Abstract:   Objective  To observe the occurrence of anastomotic fistula after laparoscopic colorectal cancer resection with indocyanine green imageing,and to determine whether indocyanine green imaging is effective in preventing laparoscopic colorectal cancer anastomotic fistula. Methods  Randomly selected 145 patients with laparoscopic colorectal cancer resection,82 patients in control group,63 patients with indocyanine green imageing(ICG group).The time of operation,the amount of bleeding during operation,the number of anastomotic leakage and the number of deaths caused by anastomotic leakage were observed. Results   In the control group,there were 7 patients with anastomotic fistula(2 with left hemitomy,1 with right hemicolectomy,4 with low rectal resection)and 1 case died from anastomotic leakage.In ICG group,only one patient undergoing lower rectal resection had anastomotic fistula,and none dead case.There was a significant difference between the two groups in the incidence of anastomotic leakage(f=2.337,P<0.05). Conclusion Indocyanine green imaging can be used to reduce postoperative anastomotic leakage with laparoscopic colorectal cancer surgery.

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