在部分切除术中使用绿色氨酸:系统性审查
Stamatios Katsimperis1, Lazaros Tzelves2, Themistoklis Bellos1
1Second Department of Urology, Sismanoglio Hospital, Athens, Greece.
Central European journal of urology
|April 22, 2024
概括
印ocyanine绿色 (ICG) 通过改善瘤可视化,潜在地减少温暖缺血时间和保持功能来帮助部分切除术. 这次审查评估了ICG的评估.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 手术瘤学手术瘤学
- 医疗成像医学成像
背景情况:
- 部分切除术是对瘤的标准治疗方法.
- 尽量减少缺血时间和保持功能是关键的结果.
- 印ocyanine绿色 (ICG) 是一种成像剂,在部分切除术中具有潜在的应用.
研究的目的:
- 系统地审查使用ICG进行部分切除术的结果.
- 评估ICG对缺血时间,手术边缘,失血和功能的影响.
- 建议部分切除术的最佳ICG剂量方案.
主要方法:
- 使用Medline,ClinicalTrials.gov和Cochrane Library.gov进行的研究的系统审查.
- 在部分切除术中包括ICG的英语研究.
- 不包括评论,元分析,社论,观点和信件.
主要成果:
- 典型的ICG剂量为5mg.
- 平均热性缺血时间 (WIT) 从11.6到27.2分钟不等.
- 估计的膜过率 (eGFR) 减少在0%至15.47%之间.
- 估计的血液损失 (EBL) 在48.2至347毫升之间.
- 积极的外科手术边缘 (PSM) 率在0.3%至11%之间.
结论:
- 在部分切除术中,ICG是用于瘤和血管识别的宝贵工具.
- ICG可以帮助减少WIT,并使选择性缺血能够更好地保护功能.
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