Safety and feasibility analysis of indocyanine green guided preservation of upper rectal vessels in laparoscopic radical resection of sigmoid cancer
Journal Title: Chinese Journal of Clinical Research - Year 2024, Vol 37, Issue 9
Abstract
Objective To investigate the safety and feasibility of indocyanine green guided preservation of the superior rectal artery in patients undergoing laparoscopic radical resection for sigmoid cancer. Methods A total of 73 patients who underwent laparoscopic radical resection of sigmoid cancer in the Department of General Surgery of Xuzhou Central Hospital from October 2019 to February 2024 were analyzed retrospectively. The patients were randomly divided into SRA group (superior rectal artery preservation, n=30) and control group (inferior mesenteric artery high ligation, n=43). The operation time, intraoperative blood loss, incidence of anastomotic fistula and total number of lymph node dissection were compared between the two groups. Results All patients completed the operation successfully and there was no perioperative death. There was no significant difference in operation time, intraoperative blood loss and total number of lymph node dissection between two groups (P＞0.05). The incidence rate of anastomotic fistula in control group was slightly higher than that in SRA group, but the difference was not significant ［14.0%(6/43) vs 0, χ2=2.899, P=0.089］. Conclusion In laparoscopic radical resection for sigmoid cancer, the application of indocyanine green-guided preservation of SRA while ensuring the clearance of group 253 lymph nodes, compared to traditional high ligation of the inferior mesenteric artery, does not affect the duration of surgery, blood loss, surgical safety, or the number of excised lymph nodes. It plays a certain role in reducing the occurrence of anastomotic fistula.
Authors and Affiliations
MENG Qingliang, XIE Guangwei, ZHANG Zhengguo, YANG Yong
Keywords
Related Articles
- EP ID EP745451
- DOI 10.13429/j.cnki.cjcr.2024.09.005
- Views 14
- Downloads 0
Effects of baicalein on protein expression of Th1/2 cells, obestatin and 5-hydroxytryptamine in rats with ulcerative
Objective To investigate the effects of baicalein on T helper cells (Th) 1/2, obestatin and 5-hydroxytryptamine (5-HT) in rats with ulcerative colitis. Methods Forty SPF grade male SD rats were randomly divided into norm...
Effect of ultrasound guided cervical nerves pathway block for internal jugular vein cannulation in awake patients
<b>Objective</b> To evaluate ultrasound guided cervical nerves pathway block (CNPB) for internal jugular vein cannulation in awake patients. <b>Methods</b> A total of 100 patients who underwent elective jugular vein punc...
Application of pancreatic regenerating protein in early warning and diagnosis of diabetes mellitus
Sodium-glucose cotransporter 2 inhibitors (SGLT-2i) are increasingly utilized in the treatment of type 2 diabetes, especially for their efficacy in weight reduction and improvement of cardiovascular and renal outcomes, a...
Application of peripheral nerve invasion based nomogram model in predicting the prognosis of stage Ⅰ-Ⅲ early-onset colorectal cancer
Objective To evaluate the impact of peripheral nerve aggression (PNI) on prognosis in patients with stage Ⅰ-Ⅲ early-onset colorectal cancer (EO-CRC) and to create a PNI-based nomogram prediction model. Methods This study...
Symptom clusters in patients with hypertensive cerebral haemorrhage during the acute phase and their correlation with prognostic quality of life
<b>Objective</b> To explore the composition of symptom clusters in the acute phase of patients with hypertensive cerebral haemorrhage and to analyse their correlation with prognostic quality of life. <b>Methods</b> From...