| Objective:To evaluate the efficacy of indocyanine green fluorescence imaging in radical resection of esophageal cancer,and to assess the correlation between the duration of indocyanine green fluorescence imaging and the width and length of the tubular stomach,as well as the surgical complications.Then,we try to construct a clinical predictive model of indocyanine green staining to predict the occurrence of surgeryrelated complications to some extent,so as to provide some reference for the decision-making of surgery.Methods:To explore and analyze the clinical data of patients with esophageal cancer who underwent radical esophagectomy through cervical-abdominal-thoracic incision in the Department of Thoracic Surgery,the First Affiliated Hospital of Nanchang University from May to January 2022,and to 2023 the follow-up of the postoperative patients,the perioperative indexes and postoperative complications were recorded,and the patients who were readmitted 30 days after operation and 90 days after operation due to complications were recorded,the time from Indocyanine Green injection to the occurrence of fluorescence staining was compared with the postoperative complications.Result:Indocyanine green imaging time was 74.05 ± 41.27 s in 41 patients.No complications occurred in 6 patients(14.6%)and 12 patients(29.3%)who had pleural effusion requiring closed thoracic drainage or Thoracentesis,eight patients(19.5%)had pulmonary infection and sputum aspiration by fiberoptic bronchoscope,and 4patients(9.8%)had recurrent laryngeal nerve injury,which affected cough and sputum production.13 patients(31.7%)had arrhythmia,some had only tachycardia,some had atrial fibrillation and none had heart failure.Conclusion:The shorter the time of indocyanine green imaging at the Anastomotic site,the better the postoperative recovery of the patients.Indocyanine green imaging time was not found to be significantly related to postoperative complications. |
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