oncotomskСибирский онкологический журналSiberian journal of oncology1814-48612312-3168Tomsk National Research Medical Сепtеr of the Russian Academy of Sciences10.21294/1814-4861-2023-22-2-143-159oncotomsk-2543Research ArticleОБЗОРЫREVIEWSСовременные возможности ICG-флуоресцентной визуализации в абдоминальной онкохирургииThe role of ICG-fluorescence imaging in abdominal surgical oncologyhttps://orcid.org/0000-0002-6865-4604ДубровинВ. Ю.DubrovinV. Yu.

Дубровин Владислав Юрьевич, студент, 

199034, г. Санкт-Петербург, Университетская набережная, 7/9

Vladislav Yu. Dubrovin, student, 

7/9, Universitetskaya Emb., 199034, St. Petersburg

vladislavdubrovin9@gmail.comhttps://orcid.org/0000-0001-9099-8553ТымчукС. С.TymchukS. S.

Тымчук София Сергеевна, студентка, 

199034, г. Санкт-Петербург, Университетская набережная, 7/9

Sofiia S. Tymchuk, student,

7/9, Universitetskaya Emb., 199034, St. Petersburg

https://orcid.org/0000-0002-1988-1608ДавлетшинаВ. В.DavletshinaV. V.

Давлетшина Виктория Викторовна, врач-хирург, онколог онкологического отделения, 

199034, г. Санкт-Петербург, Университетская набережная, 7/9

Viktoriia V. Davletshina, MD, Surgeon, Oncologist, Oncology Department,

7/9, Universitetskaya Emb., 199034, St. Petersburg

https://orcid.org/0000-0003-2187-2388ПавловР. В.PavlovR. V.

Павлов Ростислав Владимирович, генеральный директор, 

188640, г. Всеволожск, Октябрьский пр-т, 122, помещ. 311

Rostislav V. Pavlov, General Manager, 

122, Oktyabrskiy Ave., 188640, Vsevolozhsk

https://orcid.org/0000-0002-4958-5850КащенкоВ. А.KashchenkoV. A.

Кащенко Виктор Анатольевич, доктор медицинских наук, профессор, заместитель генерального директора по научнообразовательной работе, главный хирург,

194291, г. Санкт-Петербург, пр-т Культуры, 4

Viktor A. Kashchenko, MD, Professor, Deputy General Manager for Scientific and Educational Work, Chief Surgeon,

4, Kultury Ave., 194291, St. Petersburg

Клиника высоких медицинских технологий им. Н.И. Пирогова Санкт-Петербургского государственного университетаРоссияN.I. Pirogov Clinic of High Medical Technologies of Saint-Petersburg State UniversityRussian FederationООО «Мой медицинский центр Высокие Технологии»Россия«Moi meditsinskii tsentr Vysokie Tekhnologii» LLCRussian FederationФГБУ «Северо-Западный окружной научно-клинический центр им. Л.Г. Соколова ФМБА России»РоссияL.G. Sokolov North-Western Scientifc and Clinical Center of the Federal Medical and Biological AgencyRussian Federation202303052023222143159Copyright © Дубровин В.Ю., Тымчук С.С., Давлетшина В.В., Павлов Р.В., Кащенко В.А., 20232023Дубровин В.Ю., Тымчук С.С., Давлетшина В.В., Павлов Р.В., Кащенко В.А.Dubrovin V.Y., Tymchuk S.S., Davletshina V.V., Pavlov R.V., Kashchenko V.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.siboncoj.ru/jour/article/view/2543

Цель исследования ‒ обобщение и анализ имеющихся данных о современных методах дополнительной визуализации с использованием индоцианина зеленого, применяемых в различных направлениях абдоминальной онкохирургии.

Материал и методы

Материал и методы. Поиск и анализ соответствующих источников проводился в системах РИНЦ, Elibrary, PubMed, Scopus, MedLine, Elsevier, Web of Science, ScienceDirect. Использованы источники преимущественно за последние 7–10 лет. Для поиска использовались ключевые слова ICG-fuorescent navigation, ICG-fuorescence, gastric cancer, colorectal cancer, индоцианин зеленый.

Результаты

Результаты. Статья демонстрирует актуальные возможности применения ICG (indocyanine green)-флуоресцентной навигации в абдоминальной онкохирургии как перспективного современного метода. Рассматриваются аспекты применения данной методики в хирургии рака желудка, толстой и прямой кишки; идентификации перитонеального карциноматоза и метастазов печени, в билиарной хирургии и холангиографии. Описываются особенности интраоперационной визуализации сигнальных лимфатических узлов и картирования лимфатических узлов у пациентов с раком желудка и колоректальным раком. Помимо этого, представлена информация о возможностях сосудистой визуализации в колоректальной хирургии; обнаружения границ гепатоцеллюлярной карциномы и пораженных ею окружающих тканей, а также метастазов печени в режиме реального времени с применением индоцианина зеленого. Отдельное внимание уделено ICG опосредованной холецистэктомии и холангиографии. ICG-флуоресцентная визуализация в колоректальной хирургии и хирургии рака желудка позволяет индивидуализировать основной этап хирургического вмешательства, а также с большей результативностью добиться его функциональности, которая обусловлена адекватностью и достижением необходимого уровня избыточности объема операции.

Заключение

Заключение. Представленные данные подтверждают актуальность поиска вектора усовершенствования методов визуализации, применяемых в абдоминальной онкохирургии, для чего требуется еще больше многоцентровых проспективных исследований, направленных на поиск оптимальных способов улучшения методики.

The purpose of the study was to summarize and analyze the available data on modern methods of additional imaging using indocyanine green (ICG) used in abdominal surgical oncology.

Material and Methods

Material and Methods. The search and analysis of publications over the last 7–10 years was carried out using RSCI (Russian Science Citation Index), E-library, PubMed, Scopus, MedLine, Elsevier, Web of Science, ScienceDirect systems. The following keywords were used for the search: “ICG-fluorescent navigation”, “ICG-fluorescence”, “gastric cancer”, “colorectal cancer”, “indocyanine green”.

Results

Results. The role of ICG-fluorescent navigation in abdominal oncology, in particular, in surgery for cancer of the stomach, colon and rectum, identification of peritoneal carcinomatosis and liver metastases, as well as in biliary surgery and cholangiography, was shown. Intraoperative visualization of sentinel lymph nodes and mapping of lymph nodes in patients with gastric and colorectal cancers were described. In addition, the information on the diagnostic value of vascular imaging in colorectal surgery, detection of the boundaries of hepatocellular carcinoma and surrounding tissues, as well as real-time liver metastases using indocyanine green, was provided. Special attention was paid to ICG-mediated cholecystectomy and cholangiography. ICG fluorescence imaging in colorectal and gastric cancer surgery makes it possible to individualize the surgical approach and provide functional surgery associated with the performance of a sufficient and prophylactically excessive volume of surgical intervention more effectively. Conclusion. The presented data confirm the relevance of the search for a vector of improving the imaging methods used in abdominal surgical oncology, which requires even more even more multicenter prospective cohort studies to determine the best ways of improving the technique. 

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The authors declare that there are no conflicts of interest present.