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中华腔镜外科杂志(电子版)

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； 文献资源库；

病例报告 上一篇    下一篇

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 Li 1, Mingxia Ye 1, Wen Yang 1, Wensheng Fan 1, Li′an Li 1, Yuanguang Meng 1 , †( )   

  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:
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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。

关键词: 吲哚菁绿, 深部浸润型子宫内膜异位症, 机器人手术
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.

Key words: Indocyanine green, Deep infiltrating endometriosis, Robotic surgery
图1 吲哚菁绿显影前后
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