根据SAGES 2025指导方针,光图像引导的胃肠道手术使用氨酸绿色
Elisa C Calabrese1,2,3, Sunjay Kumar4, Dena Shehata5
1Department of Surgery, University of California-East Bay, 1411 E 31st St, Oakland, CA, 94602, USA. eclbrs@gmail.com.
Surgical endoscopy
|November 17, 2025
概括
光图像导向手术 (FIGS) 带有内素绿色 (ICG) 提供了改善的可视化,用于癌症检测和肠道外科手术中的解剖质量. 有证据支持其在特定应用中的使用,指导临床决策.
科学领域:
- 手术瘤学手术瘤学
- 医疗成像医学成像
- 胃肠道手术 胃肠道手术
背景情况:
- 光图像导向手术 (FIGS) 带有内素绿色 (ICG) 增强了手术内可视化.
- 它对精度和安全的临床实用性正在进行评估.
- 可变证据需要专家建议,以实现最佳应用.
研究的目的:
- 提供基于证据的建议,用于与ICG结合的FIGS的手术内使用.
- 在各种外科应用中支持临床和患者的决策.
- 为了解决胃肠道外科手术中的证据缺口.
主要方法:
- 系统的文献审查至2022年10月,以ICG解决FIGS的关键问题.
- 研究结果提交给成人和儿科外科医生组成的专家小组.
- 采用GRADE方法论开发的建议.
主要成果:
- 建议支持使用ICG的FIGS用于转移检测,初级癌症识别,肠道癌的淋巴结识别和解剖质量.
- 证据不足以确定胸腔导管的识别和腹/儿科拉透位.
- 专家的共识认为FIGS与ICG是所有评估申请的合理选择.
结论:
- 这些建议提供了基于当前证据和专家共识的ICG使用的FIGS指导.
- 鉴定到的证据缺口突出显示了胃肠道外科手术中FIGS未来研究的领域.
- 需要更强有力的证据基础来进一步支持成人和儿童胃肠道手术中的FIGS.
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