[ICG血管造影是减肥手术中的安全标准]
A G Khitaryan1,2, D A Melnikov1,2, A V Mezhunts1,2
1Private healthcare institution «Clinical Hospital» Russian Railways-Medicine «Rostov-on-Don», Rostov-on-Don, Russia.
Khirurgiia
|July 15, 2024
概括
印ocyanine绿色 (ICG) 血管造影是减肥手术中的一个有价值的工具. 它有助于评估胃茎输液,识别风险,并在手套胃切除术和胃绕道术等手术期间预防并发症.
科学领域:
- 腹部外科 腹部外科
- 手术成像手术成像
- 胃肠病学 胃肠病学
背景情况:
- 减肥手术旨在减少与肥胖相关的并发症.
- 确保足够的胃茎输液对于预防并发症至关重要.
- 胃血管架构的变化会影响手术结果.
研究的目的:
- 评估印ocyanine绿色 (ICG) 血管学在减肥手术中的有用性.
- 在袖子胃切除术 (LSG) 和迷你胃绕道术 (MGB) 期间描述ICG血管学发现.
- 为了将ICG发现与术后并发症风险相关联.
主要方法:
- 一项针对329名接受LSG,MGB或Roux-en-Y胃旁路术 (RGB) 的患者的前性研究.
- 在关键的手术阶段进行了手术内ICG血管造影.
- 进行了胃茎输液的定性和定量评估.
主要成果:
- 在LSG过程中,ICG血管学在他的角度确定了关键的血管架构.
- 后胃动脉变异与增加缺血并发症风险有关.
- 在胃区域 (p<0.001) 中观察到血液供应的显著差异.
- 在MGB中ICG指导的接器放置,以保持解剖体血液供应.
结论:
- 在腹部外科手术中,ICG血管造影对胃 perfusion 的手术内评估是有效的.
- 这种技术有助于预防组织缺血.
- 它有助于缓解早期和晚期的术后并发症.
关键词:
在ICG中使用ICG.印度氨酸绿色血管学perfusion 输液是一种输液.轮回-en-Y胃绕道术是指一次的胃绕道术.减肥手术 减肥手术是什么迷你胃绕道术 - 迷你胃绕道术致病性肥胖症 致病性肥胖症袖子胃切除术 袖子胃切除术更多相关视频
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