Objective: This study aims to explore the clinical value of fusion indocyanine green fluorescence imaging (FIGFI) in total laparoscopic radical resection for right colon cancer. Methods: From October, 2018 to December, 2018, 15 patients who underwent total laparoscopic radical resection for right colon cancer using FIGFI in Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College were retrospectively enrolled in this study. Data regarding surgical outcomes, postoperative recovery, pathological outcomes and complications were collected and analyzed. Results: All patients successfully underwent total laparoscopic radical resection for right colon cancer using FIGFI. 1 patients (6.7%) received extended resection of bowel due to poor blood supply after mesentery excision. The average operation time was 133.7 minutes and intraoperative blood loss was 26.7 ml. The average time to ground activities, fluid diet intake, first flatus and postoperative hospitalization were 19.1 h, 11.7 h, 32.5 h and 5.0 d, respectively. The average length of tumor was 4.5 cm. The average proximal and distal resection margins were 14.9 cm and 12.1 cm, respectively. The average number of lymph nodes retrieved was 29.3 per patient. Only one patient suffered from incisional fat liquefaction after surgery and was managed effectively by regular dressing change. No severe complications such as indocyanine green allergy, anastomotic stenosis, anastomotic leakage, abdominal bleeding, bowel obstruction, pulmonary infection, and abdominal infection occurred in any patients. Conclusions: FIGFI is helpful to judge the blood supply of intestinal segments and anastomotic stoma in total laparoscopic radical resection for right colon cancer quickly. It is a safe and feasible technique with satisfactory short-term effect.
目的： 探讨吲哚菁绿荧光融合影像(FIGFI)技术在完全腹腔镜右半结肠癌根治术中的应用价值。 方法： 回顾性分析中国医学科学院肿瘤医院2018年10月至12月收治的15例采用FIGFI引导下完成的完全腹腔镜右半结肠癌根治术患者的临床资料，分析患者的临床病理特征、手术和术后恢复情况以及围手术期并发症等。 结果： 15例患者均在FIGFI引导下成功完成完全腹腔镜右半结肠癌根治术，其中1例(6.7%)患者因裁剪结肠系膜后，肠管血运欠佳而扩大切除范围。15例患者的平均手术时间为133.7 min，平均术中出血量为26.7 ml，平均术后下地时间、进食时间、排气时间和住院时间分别为19.1 h、11.7 h、32.5 h和5.0 d。肿瘤平均长径为4.5 cm，平均近端切缘长度为14.9 cm，平均远端切缘长度为12.1 cm，平均淋巴结检出数目为29.3枚。1例患者术后出现切口脂肪液化，定期换药后痊愈。所有患者均未出现吲哚菁绿过敏、吻合口狭窄、吻合口漏、腹腔出血、肠梗阻、肺部感染、腹腔感染等严重并发症。 结论： FIGFI技术在完全腹腔镜右半结肠癌根治术中有助于肠段和吻合口血供的快速判断，切实可行，安全可靠，具有满意的近期疗效。.
Keywords: Colon neoplasms; Fluorescence imaging; Indocyanine green; Total laparoscopic surgery.