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使用手持式光成像设备进行即时淋巴重建.

Pedram Goel1, Jagmeet S Arora2, Brock Lanier1

  • 1From the Department of Plastic Surgery, University of California, Irvine, Orange, Calif.

Plastic and reconstructive surgery. Global open
|December 19, 2023
PubMed
概括

手持式光成像设备提供了一个安全有效的替代方案,用于识别淋巴管道在立即淋巴重建 (ILR) 期间. 这种方法可以创建淋巴静脉旁路 (LVB),在没有专用显微镜的情况下扩大ILR的访问范围.

科学领域:

  • 手术创新 在外科创新.
  • 医疗成像医学成像
  • 淋巴手术 淋巴手术 淋巴手术

背景情况:

  • 直接淋巴重建 (ILR) 传统上依赖光显微镜来识别淋巴管道.
  • 一种新的方法使用手持式光成像设备作为替代方案.

研究的目的:

  • 评估手持光成像设备的安全性和有效性,用于在ILR期间识别淋巴管道.
  • 评估使用该设备创建淋巴静脉绕道 (LVB) 的可行性.

主要方法:

  • 一个单一中心的研究涉及15名连续接受ILR的患者.
  • 在手术内,皮肤内注射绿色氨酸,然后用手持设备识别淋巴管道 (SPY-PHI,Stryker).
  • 使用非光显微镜或镜片构建LVB.

主要成果:

  • 手持设备在所有15例病例中都成功识别了淋巴管道.
  • 在所有患者中,LVB创建完成.
  • 针对各种癌症进行ILR,包括乳腺癌,卵巢癌和黑色素瘤,以及其他疾病.

结论:

  • 使用绿色氨酸和手持式光成像设备即时进行淋巴重建是安全有效的.

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  • 这种方法在没有光显微镜的情况下促进ILR,增加了患者的访问.
  • 在所有情况下,LVB创建都取得了成功.