Effects of Indocyanine Green (ICG) Imaging-Assisted Cholecystectomy on Intraoperative and Postoperative Complications: A meta-Analysis.

IF 1.2 4区 医学 Q3 SURGERY
Yuhong Tang, Ren-jie Liu, Huanxiang Liu, Rui Peng, Bing-bing Su, Dao-yuan Tu, Shunyi Wang, Chen Chen, Guoqing Jiang, Shengjie Jin, Jun Cao, Chi Zhang, Dousheng Bai
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引用次数: 0

Abstract

BACKGROUND Accurate recognition of Calot's triangle during cholecystectomy is important in preventing intraoperative and postoperative complications. The use of indocyanine green (ICG) fluorescence imaging has become increasingly prevalent in cholecystectomy procedures. Our study aimed to evaluate the specific effects of ICG-assisted imaging in reducing complications. MATERIALS AND METHODS A comprehensive search of databases including PubMed, Web of Science, Europe PMC, and WANFANGH DATA was conducted to identify relevant articles up to July 5, 2023. Review Manager 5.3 software was applied to statistical analysis. RESULTS Our meta-analysis of 14 studies involving 3576 patients compared the ICG group (1351 patients) to the control group (2225 patients). The ICG group had a lower incidence of postoperative complications (4.78% vs 7.25%; RR .71; 95%CI: .54-.95; P = .02). Bile leakage was significantly reduced in the ICG group (.43% vs 2.02%; RR = .27; 95%CI: .12-.62; I2 = 0; P = .002), and they also had a lower bile duct drainage rate (24.8% vs 31.8% RR = .64, 95% CI: .44-.91, P = .01). Intraoperative complexes showed no statistically significant difference between the 2 groups (1.16% vs 9.24%; RR .17; 95%CI .03-1.02), but the incidence of intraoperative bleeding is lower in the ICG group. CONCLUSION ICG fluorescence imaging-assisted cholecystectomy was associated with a range of benefits, including a lower incidence of postoperative complications, decreased rates of bile leakage, reduced bile duct drainage, fewer intraoperative complications, and reduced intraoperative bleeding.
吲哚菁绿 (ICG) 成像辅助胆囊切除术对术中和术后并发症的影响:荟萃分析。
背景在胆囊切除术中准确识别卡洛氏三角区对于预防术中和术后并发症非常重要。吲哚菁绿(ICG)荧光成像在胆囊切除术中的应用越来越普遍。我们的研究旨在评估 ICG 辅助成像在减少并发症方面的具体效果。材料和方法我们对包括 PubMed、Web of Science、Europe PMC 和 WANFANGH DATA 在内的数据库进行了全面检索,以确定截至 2023 年 7 月 5 日的相关文章。结果我们对涉及 3576 名患者的 14 项研究进行了荟萃分析,比较了 ICG 组(1351 名患者)和对照组(2225 名患者)。ICG 组的术后并发症发生率较低(4.78% vs 7.25%;RR .71;95%CI:.54-.95;P = .02)。ICG 组的胆汁渗漏率明显降低(.43% vs 2.02%; RR = .27; 95%CI: .12-.62; I2 = 0; P = .002),胆管引流率也较低(24.8% vs 31.8% RR = .64, 95%CI: .44-.91, P = .01)。结论ICG 荧光成像辅助胆囊切除术具有一系列优点,包括术后并发症发生率较低、胆汁渗漏率降低、胆管引流减少、术中并发症较少以及术中出血减少。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Surgical Innovation
Surgical Innovation 医学-外科
CiteScore
2.90
自引率
0.00%
发文量
72
审稿时长
6-12 weeks
期刊介绍: Surgical Innovation (SRI) is a peer-reviewed bi-monthly journal focusing on minimally invasive surgical techniques, new instruments such as laparoscopes and endoscopes, and new technologies. SRI prepares surgeons to think and work in "the operating room of the future" through learning new techniques, understanding and adapting to new technologies, maintaining surgical competencies, and applying surgical outcomes data to their practices. This journal is a member of the Committee on Publication Ethics (COPE).
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