臨床外科77巻2号

2022年02月発行

特集 ガイドラインには書いていない 大腸癌外科治療のCQ—妥当な治療と適応を見直そう

蛍光ガイド下大腸癌手術は本当に有用か

著者： 石井雅之¹ 佐藤雄¹ 竹政伊知朗¹

所属機関： ¹札幌医科大学消化器・総合，乳腺・内分泌外科

ページ範囲：P.152 - P.160

【ポイント】
◆ICG蛍光法による吻合部腸管の血流評価を行うことは，縫合不全の発生率の低下に有効である．
◆ICG蛍光法を用いた腫瘍の局在マーキングは安全で，術野に影響を与えずに腫瘍の位置を確認することが可能である．
◆転移のあるリンパ節では，ICGで蛍光標識される頻度が有意に低く，リンパ節の90%以上が癌細胞で占拠されている場合に，そのリンパ節はICG蛍光法では標識されない．

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. Eur J Surg Oncol, 2021 Jul 31〔Online ahead of print〕

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