在结肠直肠外科手术中使用内绿色 (ICG) 光进行内镜纹身指导:文献综述
Fotios Seretis1, Antonia Panagaki2, Georgios Tziatzios2
1Third Department of Surgery, Evaggelismos General Hospital of Athens, 10676 Athens, Greece.
印ocyanine绿色 (ICG) 纹身可以通过准确地定位病变和指导淋巴结去除来改善结直肠癌手术. 这种技术提高了淋巴结产量和手术规划,以获得更好的患者结果.
科学领域:
- 手术瘤学手术瘤学
- 胃肠病学 胃肠病学
- 医疗成像医学成像
背景情况:
- 准确地定位结直肠病变对于治疗意图手术至关重要.
- 印ocyanine绿色 (ICG) 为结直肠病变标记提供了一种新的方法.
研究的目的:
- 对基于ICG的纹身用于结肠直肠癌手术的文献进行系统审查.
- 评估ICG纹身在病变局部化和淋巴切除术中的有效性.
主要方法:
- 系统性文献综述涉及ICG基于结直肠癌患者纹身的研究.
- 分析了19项针对本地化率,管理方案和瘤学影响的研究.
主要成果:
- 在多项研究中,ICG纹身证明了成功的手术内定位.
- 在淋巴切除术期间的光指导增加了淋巴结的产量,并改变了显著比例的患者的手术计划.
结论:
- 基于ICG的内镜纹身对于结直肠外科手术中精确的病变定位非常有价值.
- ICG使用辅助指导淋巴结切除术,改善淋巴结检索.
- 需要进一步的研究来规范协议和克服局限性.
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