氧和内镜成像作为一种新的替代方法,用于评估食道切除术期间的组织输液
Mohammad Alomari1, Ishaq Wadiwala1, Steven Bowers2
1Department of Cardiothoracic Surgery, Mayo Clinic, Jacksonville, FL, USA.
Surgical innovation
|October 3, 2024
概括
氧和内镜成像 (OXEI) 是对绿色氨酸 (ICG) 的安全替代方案,用于在食道切除术期间评估胃管 perfusion. 这项技术在两名患者中发现了输液问题,导致成功的结果没有并发症.
科学领域:
- 手术创新 在外科创新.
- 医学成像技术 医学成像技术
- 胃肠道手术 胃肠道手术
背景情况:
- 胃管输液评估在食道切除术中至关重要,以确保生存能力并指导解剖.
- 印ocyanine绿色 (ICG) 光成像是标准的,但有禁忌 (对ICG,,贝类过敏).
- 氧和内镜成像 (OXEI) 为输液评估提供了一个非药物替代方案.
研究的目的:
- 评估OXEI在评估胃管 perfusion 的实用性.
- 报告在消化管切除术患者中使用OXEI的经验,这些患者有ICG的禁忌.
主要方法:
- 三名患者接受了机器人辅助食道切除术.
- 身体内OXEI与专门的腹腔镜摄像头一起用于输液评估.
- 监测了手术后的结果,包括静脉漏和并发症.
主要成果:
- 在两名患者中,OXEI发现了缺血区,需要切除以获得最佳生存能力.
- 第三名患者在整个导管中表现出强大的血管性.
- 所有患者都没有发生任何事件的恢复,在10天内出院,没有道泄漏或重大并发症.
结论:
- OXEI是一种可行的手术内工具,用于评估ICG禁忌患者的胃管 perfusion.
- 需要进行进一步的前性研究,以验证OXEI在预防静脉关节并发症方面的有效性.
- 与视觉检查和ICG等传统方法的比较在更大的队列中是必要的.
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