使用绿色氨酸进行尾插入 perfusion 的评估
Lewis A Hall1, Raef Jackson2, Giampiero Soccorso2
1College of Medical and Dental Sciences, University of Birmingham, Birmingham, UK.
Photodiagnosis and photodynamic therapy
|July 3, 2023
概括
印ocyanine Green (ICG) 与近红外光 (NIRF) 增强了小儿食道置换手术的阴插座 (JI). 这种技术改善了移植输液评估,可能减少并发症,并有助于移植选择.
科学领域:
- 儿科手术 儿科手术
- 手术创新 在外科创新.
- 医疗成像医学成像
背景情况:
- 关插座 (JI) 是儿科患者食道置换的可行选择.
- 确保足够的移植输液对于成功的JI结果至关重要.
- 在手术期间评估移植的活力可以减轻像道漏洞或收缩这样的风险.
研究的目的:
- 评估印ocyanine绿色 (ICG) 与近红外光 (NIRF) 在评估在儿童中JI手术期间阴茎移植输液的实用性.
- 确定ICG/NIRF成像是否增强了手术内决策和改善了手术结果.
主要方法:
- 包括三名接受JI手术的儿科患者.
- 绿色印ocyanine (ICG) 在0.2 mg/kg被静脉注射.
- 近红外光成像 (NIRF) 用于在多个手术阶段评估阴移植输液,包括选择,穿过隔膜和解剖.
主要成果:
- ICG/NIRF成像成功引导了移植的选择,并在整个过程中确认了输液.
- 该技术可以实时评估中肠和胸内肠道输液.
- 在一个案例中,ICG/NIRF证实了边界输液,导致了移植的放弃,从而防止了潜在的并发症.
结论:
- ICG/NIRF成像是一种可行的补充,用于在关节炎手术中对移植 perfusion 的主观评估.
- 这项技术为移植准备,操纵和解剖移植提供了更高的信心.
- ICG/NIRF成像证明了其优化移植选择的好处,并可能预防儿科JI手术的不良结果.
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