Applications of Indocyanine Green (ICG) fluorescence in pediatric colorectal conditions

Journal of Pediatric Surgery Open Pub Date : 2024-08-03 DOI:10.1016/j.yjpso.2024.100165

Ismael Elhalaby , Elizaveta Bokova , Seth Saylors , Irene Isabel P. Lim , Rebecca M. Rentea

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Abstract

Postoperative success in pediatric colorectal surgery hinges on achieving adequate perfusion during complex reconstructive procedures. This review synthesizes findings from recent publications regarding the application of Indocyanine Green (ICG) in various surgical interventions for conditions such as Hirschsprung disease, anorectal malformations, cloacal reconstructions, and others.

Preliminary evidence suggests that ICG fluorescence enhances intraoperative decision-making by improving vascular visualization and assessing tissue perfusion. Compared to conventional methods, ICG may offer superior evaluation of intestinal perfusion.

While initial reports indicate a favorable safety profile for ICG use in pediatric patients, further prospective studies are needed to confirm these observations, quantify benefits, and assess its impact on surgical outcomes. By providing real-time perfusion data, ICG holds promise for enhancing surgical precision and improving patient outcomes in pediatric colorectal surgery.

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吲哚菁绿（ICG）荧光在小儿结直肠疾病中的应用

小儿结直肠手术的术后成功与否取决于在复杂的重建手术中能否实现充分的灌注。本综述综合了近期发表的有关吲哚菁绿（ICG）在各种手术干预中的应用的研究结果，这些手术干预的病症包括赫氏肛门直肠病、肛门直肠畸形、泄殖腔重建等。与传统方法相比，ICG 可提供更优越的肠道灌注评估。虽然初步报告显示 ICG 在儿科患者中的使用具有良好的安全性，但还需要进一步的前瞻性研究来证实这些观察结果、量化益处并评估其对手术效果的影响。通过提供实时灌注数据，ICG有望在小儿结直肠手术中提高手术精确度并改善患者预后。

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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Journal of Pediatric Surgery Open

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