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中华腔镜外科杂志(电子版) ›› 2020, Vol. 13 ›› Issue (04) : 247 -249. doi: 10.3877/cma.j.issn.1674-6899.2020.04.012

所属专题: 经典病例 机器人手术 经典病例 文献

病例报告

机器人荧光显影深部浸润型子宫内膜异位症手术一例并文献回顾
李震1, 叶明侠1, 杨雯1, 范文生1, 李立安1, 孟元光1,()   
  1. 1. 100853 北京,解放军总医院第一医学中心妇产科
  • 收稿日期:2020-06-09 出版日期:2020-08-30
  • 通信作者: 孟元光

Robotic deep infiltrating endometriosis surgery guided by near-infrared fluorescence imaging with indocyanine green: a case report and literature review

Zhen Li1, Mingxia Ye1, Wen Yang1, Wensheng Fan1, Li′an Li1, Yuanguang Meng1,()   

  1. 1. Department of Obstetrics and Gynecology, Chinese PLA General Hospital, Beijing 100853, China
  • Received:2020-06-09 Published:2020-08-30
  • Corresponding author: Yuanguang Meng
  • About author:
    Corresponding author: Meng Yuanguang, Email:
引用本文:

李震, 叶明侠, 杨雯, 范文生, 李立安, 孟元光. 机器人荧光显影深部浸润型子宫内膜异位症手术一例并文献回顾[J/OL]. 中华腔镜外科杂志(电子版), 2020, 13(04): 247-249.

Zhen Li, Mingxia Ye, Wen Yang, Wensheng Fan, Li′an Li, Yuanguang Meng. Robotic deep infiltrating endometriosis surgery guided by near-infrared fluorescence imaging with indocyanine green: a case report and literature review[J/OL]. Chinese Journal of Laparoscopic Surgery(Electronic Edition), 2020, 13(04): 247-249.

目的

探讨吲哚菁绿荧光显影技术在机器人深部浸润型子宫内膜异位症手术中指导手术范围的可行性。

方法

选取解放军总医院第一医学中心妇产科的深部浸润型子宫内膜异位患者1例,术前完善检查,无手术禁忌,拟行机器人全子宫双附件切除+子宫内膜异位病灶切除术。术中利用吲哚菁绿荧光显影技术指示子宫内膜异位病灶进而对病灶进行切除。

结果

病变定位准确,患者术后顺利出院。

结论

机器人荧光显影技术能够清晰识别子宫内膜异位病灶。这项技术简单、快速,且能够在术中实现实时定位,指导手术范围。

Objective

To explore the feasibility of using indocyanine green(ICG) visualizing the deep infiltrating endometriosis (DIE) during robotic surgery.

Methods

A patient with DIE in Department of Genecology and Obstetrics, Chinese PLA General Hospital was selected and underwent total hysterectomy with bilateral adnexectomy and endometriosis lesion excision with perfect preoperative examination and no surgical contraindication. Near-infrared fluorescence imaging with indocyanine green was used in the operation to visualize the endometriosis lesions.

Results

The location of the lesions were accurate and the patient discharged from hospital successfully.

Conclusions

Near-infrared fluorescence imaging system with indocyanine green may clearly visualize the deep infiltrating endometriosis during robotic surgery. It is characterized by brief operation, accuracy and real time. With this technique, we can comprehensively evaluate the scope of our surgery.

图1 吲哚菁绿显影前后
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