Evaluación de la eficacia y concordancia de la angiografía con verde de indocianina en la cirugía oncoplástica y reconstructiva de la mama. resultados preliminares del estudio prospectivo gBREAST-22

IF 1.3 4区医学 Q3 SURGERY

Cirugia Espanola Pub Date : 2024-11-01 DOI:10.1016/j.ciresp.2024.08.001

Benigno Acea-Nebril, Alejandra García-Novoa, Sergio Rodríguez-Rojo, Carlota Díaz-Carballada, Alberto Bouzón-Alejandro

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Abstract

Introduction

During oncoplastic procedures, the vascularization and perfusion of the skin flaps is modified, thus increasing the possibility of skin necrosis.

The objective of this study is to evaluate the effectiveness of indocyanine color green angiography (ICG-A) to determine intraoperative skin necrosis after oncoplastic surgery or skin-sparing or nipple-skin sparing mastectomy (NSSM).

Patients and method

Prospective observational study to evaluate the sensitivity, specificity and positive and negative predictive values of the ICG-A in women with high-risk breast cancer.

Results

98 women and 156 breasts were included in the study. A total of 20 women (20.4%) presented an image of ischemia in the ICG-A. 21 women (21.4%) presented ischemic events in the postoperative period, 71.4% of these events had been detected in the third ICG-A. Three of these patients (3.1%) presented a serious complication that required reintervention. The sensitivity and specificity of the A-VIC was 71.4% and 93.5%, respectively.

Conclusions

ICG-A has high specificity and negative predictive value for detecting areas of low perfusion. In breast units with highly complex surgery, it can be useful to plan extreme surgeries and identify skin areas of low perfusion.

Abstract Image

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吲哚菁绿血管造影术在肿瘤整形和乳房再造手术中的疗效和一致性评估。前瞻性研究 gBREAST-22 的初步结果

本研究旨在评估吲哚青绿血管造影术（ICG-A）在确定肿瘤整形手术或保皮或乳头保皮乳房切除术（NSSM）术中皮肤坏死的有效性。患者和方法前瞻性观察研究，评估 ICG-A 在高危乳腺癌女性患者中的敏感性、特异性以及阳性和阴性预测值。共有 20 名妇女（20.4%）在 ICG-A 中出现缺血图像。21名妇女（21.4%）在术后出现缺血症状，其中71.4%的缺血症状是在第三次ICG-A检查中发现的。其中有三名患者（3.1%）出现了严重的并发症，需要重新进行干预。A-VIC 的灵敏度和特异度分别为 71.4% 和 93.5%。在进行高度复杂手术的乳腺科室，ICG-A 可用于计划极端手术和识别皮肤低灌注区域。

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

Cirugia Espanola SURGERY-

CiteScore

1.20

自引率

21.10%

发文量

173

审稿时长

53 days

期刊介绍： Cirugía Española, an official body of the Asociación Española de Cirujanos (Spanish Association of Surgeons), will consider original articles, reviews, editorials, special articles, scientific letters, letters to the editor, and medical images for publication; all of these will be submitted to an anonymous external peer review process. There is also the possibility of accepting book reviews of recent publications related to General and Digestive Surgery.