在左侧结肠直肠外科手术中的印ocyanine绿色分段切除以减少静脉漏: 115名患者的并行回顾性队列研究
Andrea Romboli1, Elena Orlandi2, Chiara Citterio2
1Department of General Surgery, Piacenza General Hospital, Piacenza, Italy.
Heliyon
|December 17, 2024
概括
绿色氨酸 (ICG) 血管造影显著降低左结肠切除后的静脉漏 (AL). 这项研究表明,ICG通过改善血管评估来提高外科安全性,从而改善患者的治疗结果.
科学领域:
- 结肠直肠手术 结肠直肠手术
- 手术创新 在外科创新.
- 患者安全 患者安全
背景情况:
- 肠道漏 (AL) 是结直肠手术后的一个严重并发症.
- 绿色氨酸 (ICG) 血管造影用于评估组织输液,但其对左分段结肠切除中的AL的影响尚未得到充分确立.
研究的目的:
- 为了研究印ocyanine绿色 (ICG) 血管学在减少选择性左分片结肠切除后的解剖性泄漏 (AL) 的作用.
- 评估ICG对术后发病率和停留时间的影响.
主要方法:
- 对115名接受左/横结肠切除的患者进行了回顾性,单中心的队列研究 (2017年1月至2023年7月).
- 患者分为ICG和非ICG组.
- 主要结局:AL;次要结局:发病率,停留时间.
主要成果:
- 在没有ICG组的6名患者中 (9.5%) 发生了道泄漏 (AL),而在ICG组的0名患者中 (0%) 发生了0.
- 在ICG使用和混因素之间没有发现显著的相关性.
- 在ICG组中观察到更短的术后停留时间.
结论:
- ICG血管造影与左分段结肠切除后的解肠漏 (AL) 减少有关.
- 研究结果表明,ICG在改善手术结果方面具有潜在的益处.
- 需要进一步的大规模研究来证实这些结果.
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