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一例 laparoscopic sigmoidectomy 使用温度计进行结肠血流评估的病例
Tomohiro Kako1,2, Masahiro Kimura3, Ryo Nomura1
1Department of Gastroenterological Surgery, Nagoya City University East Medical Center, 1-2-23 Wakamizu, Chikusa-ku, Nagoya, Aichi, Japan.
Surgical case reports
|September 25, 2023
概括
热图 (TG) 可以评估肠道血液流动在胃肠道手术. 这种方法与光成像 (ICG) 一起使用,有助于识别组织输液并降低解剖体泄漏风险.
科学领域:
- 手术瘤学手术瘤学
- 胃肠道手术 胃肠道手术
- 医疗成像医学成像
背景情况:
- 印ocyanine绿色 (ICG) 光成像是评估结肠血液流动和预防胃肠道外科手术中解剖体泄漏的标准.
- 由于ICG的持续光,需要在手术期间重新评估结肠 perfusion.
- 热谱 (TG) 被探索为实时结肠血流评估的替代或补充工具.
研究的目的:
- 为了验证热学 (TG) 的实用性,以评估腹腔镜半导体切除术期间的结肠血流.
- 评估TG能够将缺血性从非缺血性结肠组织划分出来的能力.
- 为了确定TG是否可以帮助外科手术决策,以选择解位.
主要方法:
- laparoscopic sigmoidectomy 在一个43岁的男性患者身上进行了 laparoscopic sigmoidectomy 进行了 laparoscopic sigmoidectomy 在一个43岁的男性患者身上进行了 laparoscopic sigmoidectomy.
- 印ocyanine绿色 (ICG) 光成像和热像 (TG) 用于识别缺血和非缺血结肠组织之间的边界.
- 由于分离器,进行了额外的结肠介质切除,随后进行了进一步的ICG注射和TG评估.
主要成果:
- 热力学 (TG) 确定了结肠介质上一个明显的温度过渡区域,作为血液流动的可靠切断线.
- 观察到ICG光,但TG提供了关于 perfusion 状态的补充信息.
- 没有报告任何术后并发症,包括静脉漏.
结论:
- 热谱 (TG) 显示出在临床实践中作为评估结肠血流的辅助诊断工具的潜力.
- 在不需要成像剂的情况下,TG可以根据表面温度评估血液流动.
- TG是一种廉价且易于实施的方法,用于在手术期间评估结肠输液.
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