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Applications of Near-Infrared Fluorescence Imaging and Angiography of Inferior Vesical Artery in Laparoscopic Lateral Lymph Node Dissection: A Prospective Nonrandomized Controlled Study

文献类型：期刊论文

作者Tang, Bin1; Zhou, Sicheng2; He, Kunshan3; Mei, Shiwen1; Qiu, Wenlong1; Guan, Xu1; Liu, Fucheng4; Chi, Chongwei5; Wang, Xishan1; Tian, Jie3,5,7
刊名DISEASES OF THE COLON & RECTUM
出版日期2024
卷号67期号:1页码:175-184
ISSN号0012-3706
关键词Indocyanine green Inferior vesical artery Lateral lymph node dissection Near-infrared imaging Rectal cancer Urinary function
DOI10.1097/DCR.0000000000002926
通讯作者Tian, Jie(jie.tian@ia.ac.cn) ; Liu, Qian() ; Tang, Jianqiang(doc_tjq@hotmail.com)
英文摘要BACKGROUND: Near-infrared imaging with indocyanine green has been used to guide lateral lymph node dissection, yet its efficacy and benefits need further investigation.OBJECTIVE: To investigate the efficacy and feasibility of near-infrared fluorescence imaging and angiography of the inferior vesical artery in laparoscopic lateral lymph node dissection.DESIGN: A prospective nonrandomized controlled study.SETTINGS: Single-center study.PATIENTS: Patients with lower rectal cancer who underwent total mesorectal excision plus lateral lymph node dissection.MAIN OUTCOME MEASURES: A cohort of 108 patients was enrolled. After propensity score matching, 29 patients in the near-infrared group and 50 patients in the non-near-infrared group were matched. The total number of harvested lateral lymph nodes, positive lateral lymph nodes, inferior vesical artery preservation, and postoperative urinary function were compared.RESULTS: After propensity score matching, both groups had similar baseline characteristics. The total number of harvested lateral lymph nodes in the near-infrared group was significantly higher (12 vs 9, p = 0.013), but positive lateral lymph nodes were similar between the 2 groups (1 vs 1, p = 0.439). The inferior vesical artery preservation ratio was significantly increased with the aid of indocyanine green angiography (93.1% vs 56.0%, p < 0.001). The non-near-infrared group required more days for urinary catheter removal than the near-infrared group (5 vs 4, p = 0.046). Urinary recatheterization tended to occur more frequently in the non-near-infrared group, with a marginally significant trend (16% vs 0%, p = 0.059). The non-near-infrared group tended to have more cases with residual urine volume >= 50 mL than the near-infrared group (20.0% vs 3.4%, p = 0.087), especially in the bilateral dissection subgroup (41.2% vs 0%, p = 0.041).LIMITATIONS: Small sample size.CONCLUSIONS: Near-infrared imaging increased the number of harvested lateral lymph nodes, whereas real-time indocyanine green fluorescence angiography ensured the preservation of the inferior vesical artery and tended to improve postoperative urinary function.
WOS关键词LOWER RECTAL-CANCER ; INDOCYANINE GREEN ; MESORECTAL EXCISION ; COMBINED RESECTION ; ILIAC VESSELS ; SURGERY ; FASCIA
资助项目Wu Jieping Special Foundation for Clinical Research[320.6750.2021-04-02] ; The Hope Star Project of Cancer Hospital of Chinese Academy of Medical Sciences ; National Key R&D Program for Young Scientists[SQ2022YFC2500011] ; National Natural Science Foundation of China[62027901] ; National Natural Science Foundation of China[81227901] ; National Natural Science Foundation of China[81930053] ; National Natural Science Foundation of China[82001984] ; National Natural Science Foundation of China[92059207] ; National Natural Science Foundation of China[92059203] ; Beijing Natural Science Foundation[L222054]
WOS研究方向Gastroenterology & Hepatology ; Surgery
语种英语
出版者LIPPINCOTT WILLIAMS & WILKINS
WOS记录号WOS:001131654300015
资助机构Wu Jieping Special Foundation for Clinical Research ; The Hope Star Project of Cancer Hospital of Chinese Academy of Medical Sciences ; National Key R&D Program for Young Scientists ; National Natural Science Foundation of China ; Beijing Natural Science Foundation
源URL[http://ir.ia.ac.cn/handle/173211/54826]  
专题自动化研究所_中国科学院分子影像重点实验室
通讯作者Tian, Jie; Liu, Qian; Tang, Jianqiang
作者单位1.Chinese Acad Med Sci & Peking Union Med Coll, Canc Hosp, Dept Colorectal Surg, Natl Clin Res Ctr Canc,Natl Canc Ctr, Beijing, Peoples R China
2.Peking Univ First Hosp, Breast Dis Ctr, Beijing, Peoples R China
3.Beihang Univ, Beijing Adv Innovat Ctr Big Data Based Precis Med, Sch Med & Engn, Beijing, Peoples R China
4.Fengtai Hosp, Dept Gen Surg, Beijing, Peoples R China
5.Chinese Acad Sci, CAS Key Lab Mol Imaging, State Key Lab Management & Control Complex Syst, Beijing Key Lab Mol Imaging,Inst Automat, Beijing, Peoples R China
6.17 Panjiayuan Nanli, Beijing 100021, Peoples R China
7.95 Zhongguancun E Rd, Beijing 100000, Peoples R China
推荐引用方式
GB/T 7714		 Tang, Bin,Zhou, Sicheng,He, Kunshan,et al. Applications of Near-Infrared Fluorescence Imaging and Angiography of Inferior Vesical Artery in Laparoscopic Lateral Lymph Node Dissection: A Prospective Nonrandomized Controlled Study[J]. DISEASES OF THE COLON & RECTUM,2024,67(1):175-184.
APA Tang, Bin.,Zhou, Sicheng.,He, Kunshan.,Mei, Shiwen.,Qiu, Wenlong.,...&Tang, Jianqiang.(2024).Applications of Near-Infrared Fluorescence Imaging and Angiography of Inferior Vesical Artery in Laparoscopic Lateral Lymph Node Dissection: A Prospective Nonrandomized Controlled Study.DISEASES OF THE COLON & RECTUM,67(1),175-184.
MLA Tang, Bin,et al."Applications of Near-Infrared Fluorescence Imaging and Angiography of Inferior Vesical Artery in Laparoscopic Lateral Lymph Node Dissection: A Prospective Nonrandomized Controlled Study".DISEASES OF THE COLON & RECTUM 67.1(2024):175-184.

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来源：自动化研究所

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