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在食道切除术期间的手术内 laparoscopic 超光谱成像 - 一项试点研究,评估在解剖部位的食道胃输液
Annalena Ilgen1, Hannes Köhler2, Annekatrin Pfahl2
1Department of Visceral, Transplant, Thoracic and Vascular Surgery, University Hospital of Leipzig, Liebigstr. 20, 04103 Leipzig, Germany.
Bioengineering (Basel, Switzerland)
|January 22, 2024
概括
微创手术 (HSI-MIS) 的高光谱成像可靠地评估了食管胃瘤的组织输液. 这项试点研究证实了HSI-MIS的可行性,用于评估癌症患者的门活力.
科学领域:
- 手术技术 手术技术
- 医疗成像医学成像
- 胃肠病学 胃肠病学
背景情况:
- 在食道切除术中,解剖器缺陷是显著的风险.
- 超光谱成像 (HSI) 提供非侵入性,实时组织评估.
- 开发了一种用于微创手术的新HSI系统 (HSI-MIS).
研究的目的:
- 调查HSI-MIS在评估食管胃瘤时组织输液的可靠性.
- 评估HSI-MIS在癌症最小侵入性食道切除术期间的可行性.
主要方法:
- 一项试点研究涉及21名接受艾佛·易斯食道切除术的患者.
- 使用TIVITA® Mini (HSI-MIS) 来测量组织氧化 (StO2),近红外透射指数 (NIR-PI) 和组织水指数 (TWI).
- 在胸部阶段,在近端 (食道) 和远端 (胃) 解位进行测量.
主要成果:
- 在所有21名患者中,HSI-MIS提供了可靠和有信息的测量结果.
- 在两个静脉动位点观察到类似的StO2和TWI中位数.
- 与之前的开放手术HSI研究相比,在远部胃管部发现了NIR-PI的显著差异.
结论:
- 在最小侵入性食道切除术期间,HSI-MIS系统可用于评估静脉切除活力.
- 该技术显示了在手术环境中实时组织 perfusion 评估的潜力.
- 需要进行进一步的研究,以确定HSI-MIS在减少静脉缺陷方面的额外好处.
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