胃肠道瘤的印ocyanine绿色光引导手术:一个系统的审查
Carlo Sposito1,2, Marianna Maspero1,3, Paolo Belotti3
1From the General Surgery and Liver Transplantation Unit, Fondazione IRCCS Istituto Nazionale dei Tumori di Milano, Milan, Italy.
概括
印ocyanine绿色 (ICG) 光指导提高了胃肠癌手术的精度. 本综述表明ICG有效地局部化瘤和淋巴结,改善瘤的结果.
科学领域:
- 手术瘤学手术瘤学
- 医疗成像医学成像
- 胃肠病学 胃肠病学
背景情况:
- 实时印氨酸绿色 (ICG) 光导向手术为改善患者量身定制的瘤精度提供了潜力.
- 在胃肠道 (GI) 癌症手术中,ICG 增强了手术结果.
研究的目的:
- 系统地审查使用ICG指导GI癌症手术中的手术解剖的文献.
主要方法:
- 在MEDLINE,PubMed,EMBASE和谷歌学者搜索了ICG在GI癌症手术中的使用,直到2020年12月.
- 排除了输液研究;使用既定尺度评估研究质量.
- 通过描述性统计数据进行了叙事综合.
主要成果:
- 包括78项研究;ICG用于瘤/转移局部化,哨兵淋巴结检测和淋巴流映射.
- 实现了100%的初级结肠直肠和胃瘤检测率.
- 在各种胃肠道癌症中证明了高的哨兵淋巴结检测率 (83.3%98.6%),并改善了D2淋巴切除术的质量.
结论:
- ICG是指导肠道外科手术剖析的一个有前途的工具.
- 需要进一步进行高质量的大规模研究,以确定ICG指导手术作为标准护理.
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