Indocyanine Green Tattooing During Colonoscopy as a Guide to Laparoscopic Colorectal Cancer Surgery: A Literature Review.

IF 1.2 4区医学 Q3 SURGERY

Surgical Innovation Pub Date : 2024-02-01 Epub Date: 2023-11-03 DOI:10.1177/15533506231209127

Marzia Varanese, Stefano Arcieri, Augusto Lauro, Cristina Panetta, Chiara Eberspacher, Rossella Palma, Domenico Mascagni, Stefano Pontone

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引用次数: 0

Abstract

Background: Endoscopic tattooing of colorectal lesions has been performed employing several markers. The indocyanine green (ICG) that uses near infrared fluorescence technology, has been recently adopted in laparoscopic colorectal cancer surgery. This study aims to systematically review the international literature to validate the ICG in laparoscopic colorectal surgery, in order to include the ICG in the therapeutic protocol.

Methods: Following AMSTAR 2 criteria, we performed a systematic review to evaluate the use of green indocyanine as a marker for preoperative endoscopic tattooing and for lymph nodes mapping. The study selection was conducted using the PubMed database from January 1989 to July 2022.

Results: We identified 25 eligible studies. 13 based on fluorescent tumor localization in laparoscopic colorectal surgery using ICG while 12 of them reported the lymphatic road mapping and sentinel node identification by ICG using a near-infrared camera system. One study analyzed both topics.

Conclusions: In laparoscopic colorectal cancer surgery indocyanine green can be used to localize fluorescent tumors and mapping fluorescence lymph node. The use of ICG appears to be a valid and safe technique that helps the surgeon to achieve a better oncological radicality. However, the protocols need to be clarified by further studies.

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结肠镜检查中吲哚青绿纹身作为腹腔镜癌症结直肠癌手术指南：文献综述。

背景：结肠直肠病变的内镜纹身已经使用了几种标记物。吲哚青绿（ICG）采用近红外荧光技术，最近被用于腹腔镜癌症大肠癌手术。本研究旨在系统回顾国际文献，以验证ICG在腹腔镜结直肠手术中的作用，从而将ICG纳入治疗方案。方法：根据AMSTAR 2标准，我们进行了一项系统综述，以评估绿色吲哚菁作为术前内窥镜纹身和淋巴结标测标记的使用情况。研究选择使用PubMed数据库于1989年1月至2022年7月进行。结果：我们确定了25项符合条件的研究。13例基于使用ICG的腹腔镜结直肠手术中的荧光肿瘤定位，而其中12例报告了使用近红外摄像系统的ICG的淋巴路径图和前哨淋巴结识别。一项研究分析了这两个主题。结论：在腹腔镜癌症手术中，吲哚青绿可用于定位荧光肿瘤和定位荧光淋巴结。ICG的使用似乎是一种有效和安全的技术，有助于外科医生获得更好的肿瘤学基础。然而，需要通过进一步的研究来澄清协议。

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 医学-外科

CiteScore

2.90

自引率

0.00%

发文量

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).