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SAGES 2025对光图像引导的胃肠道手术的系统综述和元分析,使用绿色氨酸绿色

Panagiotis Kapsampelis¹, Elisa C Calabrese^2,3,4, Sunjay S Kumar⁵

¹Leeds Institute of Emergency General Surgery, St James's University Hospital, Leeds Teaching Hospitals NHS Trust, Leeds, UK.

Surgical endoscopy

|November 4, 2025

概括

使用光图像指导手术 (FIGS) 使用绿色 (ICG) 减少结直肠带泄漏,并改善淋巴结检索在胃肠道癌症. 然而,它的有效性因手术应用而异,需要进一步研究.

科学领域:

手术瘤学手术瘤学
最少侵入性的手术
医疗成像医学成像

背景情况:

光图像导向手术 (FIGS) 与绿 (ICG) 增强了手术内可视化,但其临床结果影响不一致.
本系统性审查评估了FIGS与ICG在各种手术应用中的有效性.

研究的目的:

系统地审查有关FIGS与ICG在各种外科应用中的有效性的证据.
通过ICG实施,为FIGS制定指导方针.

主要方法:

系统性文献审查至2022年10月 (对于结直肠瘤,延长至2024年9月).
包括RCT和比较观察性研究,以ICG解决FIGS的关键问题.
在适当的情况下进行元分析,遵守PRISMA 2020指南.

主要成果:

使用ICG的FIGS显著降低了结肠直肠静脉性泄漏率 (OR0.58),并促进了切割点的手术内变化.
在胃肠道癌症手术中,淋巴结的检索增加了平均6.32个节点.
有限证据表明,FIGS与ICG在胸管识别,食道瘤,腹和儿科手术中的作用有限.

结论:

与ICG一起的FIGS在特定应用中显示出更好的结果,例如恶性淋巴结检索和减少结肠直肠位泄漏.
有效性取决于上下文,根据外科应用和临床问题而有所不同.
需要进一步进行高质量的研究,以解决证据差距,并支持更广泛的指导方针实施.

关键词:

光图像引导手术 (FIGS) 是一种指导手术.印ocyanine绿色 (ICG) 是一种绿色的物质.进行元分析分析.手术手术手术系统性审查系统性审查

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