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Chie Hagiwara¹, Jun Watanabe², Yusuke Suwa³

¹Department of Colorectal Surgery, Kansai Medical University, 2-5-1, Shinmachi, Hirakata, Osaka, 573-1010, Japan.

Surgical endoscopy

|September 5, 2025

概括

使用SPY-QP软件对绿色光成像 (ICG-FI) 的定量评估可以改善直肠癌手术中对静脉输液的客观评估,从而可能降低泄漏风险.

科学领域:

外科瘤学
医学成像
胃肠道外科

背景情况:

绿色光成像 (ICG-FI) 用于评估静脉输液.
目前的ICG-FI评估缺乏客观性,导致持续的道泄漏.
定量分析可以提高ICG-FI在外科环境中的可靠性.

研究的目的:

用SPY-QP软件评估定量印绿色光成像 (ICG-FI) 的有效性.
在直肠癌手术中评估血流的客观性.
要将定量输液参数与道泄漏 (AL) 相对应.

主要方法:

用SPY-QP进行腹腔镜或机器人手术的201名直肠癌患者的回顾性分析.
记录到光平原的时间 (Tmax) 和相对光强度.
与AL发生相关的定量输液指标.

主要成果:

在3. 0%的患者中出现了解剖漏洞.
Tmax与输液时间呈正相关性 (r=0. 55).
在8. 5%的病例中进行了定量ICG- FI导向切割线调整,通过定性评估发现了输液问题.

结论:

通过SPY-QP软件,可以对静脉输液进行更客观的评估.
定量ICG-FI参数可以帮助识别有风险的瘤.
客观的输液评估可以改善直肠癌手术的结果.

关键词:

解剖学性泄漏血液输液印度洋绿色定量评估结直肠癌

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