在结直肠外科手术周围的外科手术期间的膜 perfusion 变化,使用氨酸绿色光谱和光血管学
Paolo Enrico Meneghesso1,2, Alice Moynihan1, Ashokkumar Singaravelu1
1UCD Centre for Precision Surgery, University College Dublin, Dublin, Ireland.
Surgical endoscopy
|March 2, 2026
概括
评估沟输液的印ocyanine绿色 (ICG) 方法在结直肠手术期间显示出差异,特别是在远端切除时. 定量光分析与光谱测量相一致,为手术内监测提供了一个潜在的工具.
科学领域:
- 手术瘤学手术瘤学
- 胃肠病学 胃肠病学
- 医疗器械 医疗器械 医疗器械
背景情况:
- 印度氨酸绿色 (ICG) 光用于评估沟和肠道输液.
- 临床评估包括外围脉冲光谱测量和近红外光血管造影 (ICGFA).
- 这项研究探讨了这些ICG技术在结直肠外科手术患者的术后变化和相关性.
研究的目的:
- 使用ICG. 调查使用ICG. 进行腹和肠道输液测量的外科手术前变化.
- 为了将外围脉冲光谱测量和ICGFA的测量结果关联起来.
- 探索这些输液指数与结直肠手术后患者结果的相关性.
主要方法:
- 使用ICG脉冲光谱仪 (LiMON) 测量了血消失率 (PDR) 和ICGR15.
- ICGFA被视觉判断并进行定量分析.
- 测量是在手术前,手术期间和术后的第四天进行的.
主要成果:
- 包括28名接受结直肠切除术的患者.
- 观察到输液指数的实质性个体间变化,特别是在手术期间和老年患者或远端切除患者中.
- 在手术内降低ICGR15与并发症有关,但并不是严重的并发症. 在PDR和光参数之间发现了适度的关联.
结论:
- 在手术期间的沟输液在结直肠手术中表现出显著的变异性,特别是在远端切除期间.
- 定量ICGFA显示与光谱光度检测结果一致.
- 在结直肠外科手术中,ICGFA具有作为补充性手术内 perfusion 监测工具的潜力.
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