ФЛУОРЕСЦЕНТНАЯ АНГИОГРАФИЯ С ИСПОЛЬЗОВАНИЕМ ИНДОЦИАНИНА ЗЕЛЕНОГО В ХИРУРГИИ РАКА ЛЕВОЙ ПОЛОВИНЫ ОБОДОЧНОЙ КИШКИ
Оригинальная статья
Дата публикации: февраля 9, 2023
Ключевые слова
колоректальный рак
индоцианин зеленый
флуоресцентная ангиография
индоцианин зеленый
флуоресцентная ангиография
Как цитировать
[1]
Ю. А. Стрельцов, ФЛУОРЕСЦЕНТНАЯ АНГИОГРАФИЯ С ИСПОЛЬЗОВАНИЕМ ИНДОЦИАНИНА ЗЕЛЕНОГО В ХИРУРГИИ РАКА ЛЕВОЙ ПОЛОВИНЫ ОБОДОЧНОЙ КИШКИ, КМКВ, вып. 4, сс. 40-44, фев. 2023.
Аннотация
Цель исследования. Оценить результаты применения флуоресцентной ангиографии в ближнем инфракрасном спектре в режиме реального времени с использованием индоцианина зеленого в хирургии рака левой половины ободочной кишки. Материалы и методы. В период с декабря 2017 г. по январь 2022 г. выполнено 17 лапароскопических резекции толстой кишки по поводу рака левой половины ободочной кишки с применением индоцианина зеленого для флуоресцентной ангиографии. Результаты. Средняя продолжительность операций составила 199.1±44.8 мин. Послеоперационные осложнения были зарегистрированы в 2 случаях (11.8%), однако ни у одного из 17 оперированных по поводу рака левой половины ободочной кишки пациентов не было зарегистрировано несостоятельности анастомоза или осложнений, ассоциированных с применением индоцианина зеленого. В результате проведения флуоресцентной ангиографии в ближнем инфракрасном спектре с индоцианина зеленого в режиме реального времени у 2 пациентов нами было принято решение об изменении области резекции кишки. Заключение. Результаты данного исследования продемонстрировали хирургическую безопасность, воспроизводимость, легкость, простоту флуоресцентной ангиографии в ближнем инфракрасном спектре в режиме реального времени с использованием индоцианина зеленого.Литература
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11. Engel E. et al. Light-induced decomposition of indocyanine green // Investigative ophthalmology & visual science. – 2008. – V. 49. – №. 5. – P. 1777-1783. doi: 10.1167/iovs.07-0911
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