SAGES guidelines for the use of intraoperative imaging of the common bile duct.

IF 2.7 2区医学 Q2 SURGERY

Surgical Endoscopy And Other Interventional Techniques Pub Date : 2025-09-11 DOI:10.1007/s00464-025-12142-0

Sunjay K Kumar, Dena G Shehata, Lawrence N Cetrulo, Romeo Ignacio, Jeffrey Chiu, Brain R Davis, Marian McDonald, Matthew B Bloom, Subhashini Ayloo, Ali Kchaou, Georgios Orthopoulos, Philip H Pucher, Uretz Oliphant, Peter T Hallowell, Federico Serrot, David Overby, Eduardo Moreno-Paquentin, Bethany J Slater, Emily Miraflor

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引用次数: 0

Abstract

Background: There are multiple intraoperative imaging techniques used to increase safety during laparoscopic cholecystectomy, including intraoperative cholangiography (IOC), fluorescence imaging (FI) with indocyanine green (ICG), and laparoscopic ultrasound (LUS). This guideline addresses the optimal intraoperative imaging technique during laparoscopic cholecystectomy for benign biliary disease.

Methods: A systematic review was conducted to address five key questions regarding the use of intraoperative imaging of the common bile duct. These results were then presented to a panel of practicing surgeons who formulated recommendations based on the best available evidence.

Results: Conditional recommendations were made in favor of performing IOC in adult and pediatric patients and doing so routinely rather than selectively, IOC rather than FI with ICG, and either IOC or LUS.

Conclusions: These recommendations should provide guidance regarding the use of intraoperative imaging techniques during laparoscopic cholecystectomy. This guideline also identifies important areas where the future research should focus to strengthen the evidence base.

查看原文本刊更多论文

SAGES术中胆总管成像指南。

背景：有多种术中成像技术用于提高腹腔镜胆囊切除术的安全性，包括术中胆管造影（IOC）、吲哚菁绿（ICG）荧光成像（FI）和腹腔镜超声（LUS）。本指南探讨了良性胆道疾病腹腔镜胆囊切除术的最佳术中成像技术。方法：对术中胆总管成像的五个关键问题进行系统回顾。这些结果随后被提交给一个由执业外科医生组成的小组，他们根据现有的最佳证据制定建议。结果：有条件的建议赞成对成人和儿童患者进行IOC，常规而不是选择性地进行IOC， IOC而不是伴有ICG的FI， IOC或LUS。结论：这些建议可为腹腔镜胆囊切除术术中影像学技术的应用提供指导。本指南还确定了未来研究应关注的重要领域，以加强证据基础。

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 Endoscopy And Other Interventional Techniques 医学-外科

CiteScore

6.10

自引率

12.90%

发文量

890

审稿时长

6 months

期刊介绍： Uniquely positioned at the interface between various medical and surgical disciplines, Surgical Endoscopy serves as a focal point for the international surgical community to exchange information on practice, theory, and research. Topics covered in the journal include: -Surgical aspects of: Interventional endoscopy, Ultrasound, Other techniques in the fields of gastroenterology, obstetrics, gynecology, and urology, -Gastroenterologic surgery -Thoracic surgery -Traumatic surgery -Orthopedic surgery -Pediatric surgery