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Indocyanine Green Fluorescence Imaging-Guided Lymphangiography in Colorectal Oncologic Practice: Current Use and Future Considerations

摘要The clearance of lesions during surgery for colorectal cancer encompasses the removal of both the primary tumour and its concomitant lymphatic drainage. Huge strides have been made in identifying the precise location of not only the primary tumour, but also the lymph nodes (LNs), owing to the use of intraoperative navigation techniques. Among these techniques, indocyanine green-enhanced fluorescence imaging (ICG-FI) has revolutionized colorectal oncologic surgery by providing clear visualization during lymphangiography. ICG-FI has emerged as a powerful tool for sentinel lymph node procedures that allows for local excision instead of radical D3 lymphadenectomy. It also makes it possible to identify potential metastatic lateral pelvic lymph nodes, which enables simultaneous lymphadenectomy of the pelvic side-wall during the resection of middle-lower rectal cancer. This review provides an update on the current use of and research on ICG-FI-guided LNs mapping for colorectal malignancies, and also discusses its drawbacks and future prospects.

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作者 Yi Qun Liao [1] Yi Chao Ma [2] Jia Hao Zhao [2] Yu Ji Chen [2] Bin Zhao [1] Yong Kun Fang [1] Fei Wang [1] Chen Wei [2] Hao Ji [2] Dao Rong Wang [3] Dong Tang [3] 学术成果认领
作者单位 Department of Clinical Medical College,The Yangzhou School of Clinical Medicine of Dalian Medical University,Dalian 116044,Liaoning,China [1] Department of Clinical Medical College,Yangzhou University,Yangzhou 225001,Jiangsu,China [2] Department of General Surgery,Institute of General Surgery,Clinical Medical College,Yangzhou University,Northern Jiangsu People's Hospital,Yangzhou 225001,Jiangsu,China [3]
栏目名称 Reviews
DOI 10.34175/jno202203001
发布时间 2023-04-11
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