评估使用印ocyanine绿色的长期结果,以减少在机器人激进囊切除术和体外尿路转移期间的尿路肠道静脉结构
Daniel J Lama1, Salvador Jaime-Casas1, Matthew Hudnall1
1Division of Urology and Urologic Oncology, Department of Surgery, City of Hope Comprehensive Cancer Center, Duarte, CA, USA.
European urology open science
|October 6, 2025
概括
绿色氨酸 (ICG) 光成像显著降低了在机器人辅助激进囊切除术 (RARC) 和体外尿路转移 (ECUD) 后尿道肠肠道静脉狭窄 (UAS) 的风险. 这种安全的技术有助于在重建过程中识别组织 perfusion,降低并发症率.
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:
- 尿道肠道静脉狭窄 (UAS) 是机器人辅助激进囊切除术 (RARC) 与体外尿路转移 (ECUD) 后的一种并发症.
- 评估尿道输液在尿道肠道解剖时是预防UAS的关键.
研究的目的:
- 评估印氨酸绿 (ICG) 使用对UAS风险的影响.
- 在RARC和ECUD之后,确定与UAS发病率相关的临床因素.
主要方法:
- 对392名接受RARC + ECUD (2011-2022) 的患者进行了回顾性审查.
- 接受ICG和未接受ICG的患者之间的结局比较.
- 卡普兰-梅尔和后勤回归分析以确定UAS率和风险因素.
主要成果:
- 使用ICG与显著较低的UAS率有关 (6个月后的2%,而非ICG组的12%).
- 糖尿病被确定为UAS发病率增加的重要危险因素.
- 没有报告ICG管理相关的不良事件.
结论:
- 在RARC和ECUD之后,ICG光成像是减少UAS风险的安全有效工具.
- 使用ICG可以通过确保在解过程中提供足够的尿管输液来改善手术结果.
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