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中华腔镜外科杂志(电子版) ›› 2025, Vol. 18 ›› Issue (06) : 321 -328. doi: 10.3877/cma.j.issn.1674-6899.2025.06.001

指南与共识

腹腔镜(机器人)ICG荧光染色技术在肝恶性肿瘤切除术中的应用专家共识
中国研究型医院学会微创外科学专业委员会, 中国研究型医院学会智能医学专业委员会, 中国医学装备协会智能装备技术分会   
  1. 100853 北京,解放军总医院第一医学中心肝胆胰外科医学部
  • 收稿日期:2025-10-27 出版日期:2025-12-30
  • 基金资助:
    国家重点研发计划(2022YFC2407403)

Expert consensus on the application of ICG fluorescence imaging technology in laparoscopic (robotic) malignant liver tumor resection

The Minimally Invasive Surgery Professional Committee of the Chinese Research Hospital Association, The Intelligent Medicine Professional Committee of the Chinese Research Hospital Association, Intelligent Equipment Technology Branch of China Association of Medical Equipment   

  1. Department of Hepatobiliary and Pancreatic Surgery, the First Medical Center of the PLA General Hospital, Beijing 100853, China
  • Received:2025-10-27 Published:2025-12-30
引用本文:

中国研究型医院学会微创外科学专业委员会, 中国研究型医院学会智能医学专业委员会, 中国医学装备协会智能装备技术分会. 腹腔镜(机器人)ICG荧光染色技术在肝恶性肿瘤切除术中的应用专家共识[J/OL]. 中华腔镜外科杂志(电子版), 2025, 18(06): 321-328.

The Minimally Invasive Surgery Professional Committee of the Chinese Research Hospital Association, The Intelligent Medicine Professional Committee of the Chinese Research Hospital Association, Intelligent Equipment Technology Branch of China Association of Medical Equipment. Expert consensus on the application of ICG fluorescence imaging technology in laparoscopic (robotic) malignant liver tumor resection[J/OL]. Chinese Journal of Laparoscopic Surgery(Electronic Edition), 2025, 18(06): 321-328.

随着腹腔镜(机器人)相关技术的不断提高和完善,腹腔镜(机器人)肝恶性肿瘤切除术在临床得到了较广泛的应用,但深部肿瘤难以定位及术中及时探测断面胆漏仍影响着腹腔镜(机器人)肝恶性肿瘤切除术的开展。吲哚菁绿(indocyanine green,ICG)的出现为上述问题的解决提供了较为可行的方案。结合ICG染色技术的腹腔镜(机器人)手术系统在解剖精确度、肿瘤根治性和手术安全性方面为术者和患者提供了最佳的手术效果。在总结临床经验及相关文献的基础上,我国肝胆外科领域专家进行深入讨论,制定了《腹腔镜(机器人)ICG荧光染色技术在肝恶性肿瘤切除术中的应用专家共识》,旨在拓展对腹腔镜(机器人)肝恶性肿瘤切除术中ICG应用的临床特点和最新进展的认识,为ICG在腹腔镜(机器人)肝恶性肿瘤切除中的应用提供指导性意见。

The continuous refinement and enhancement of laparoscopic (robotic) techniques have facilitated the widespread implementation of minimally invasive resection for malignant liver tumor in clinical settings. Nevertheless, the difficulty in accurate detection of deep-seated malignant liver tumor and the reliable identification of operative biliary leakage remain significant constraints on its utilization. The introduction of indocyanine green (ICG) presents a promising strategy to address these particular challenges. Laparoscopic (robotic) surgical platforms incorporating ICG fluorescence imaging technology provide optimal operative results in terms of anatomical accuracy, oncologic radicality, and procedural safety for the surgeon and patient alike. Through a synthesis of clinical expertise and extant literature, specialists within China′s hepatobiliary surgery community have engaged in thorough deliberations to formulate the "Expert Consensus on the Application of ICG Fluorescence Imaging Technology in Laparoscopic (Robotic) Malignant Liver Tumor Resection." This consensus is intended to broaden comprehension of the clinical attributes and contemporary progress associated with ICG application in laparoscopic (robotic) malignant liver tumor resection, thereby establishing directives for its standardized implementation.

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