Lymph node mapping with ICG near-infrared fluorescence imaging: technique and results.

IF 1.7 4区医学 Q2 SURGERY

Minimally Invasive Therapy & Allied Technologies Pub Date : 2023-10-01 Epub Date: 2023-06-01 DOI:10.1080/13645706.2023.2217916

Ludovica Baldari, Luigi Boni, Elisa Casinotti

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引用次数: 0

Abstract

Purpose: Lymphadenectomy represents a fundamental step during gastrointestinal cancer resection, as the removal of an adequate number of lymph nodes is crucial to define the stage of the disease and prognosis. Lymphadenectomy during gastric and colorectal resection and adrenalectomy for cancer are technically demanding and can be associated with risk of bleeding. To date, lymphadenectomy is often performed without any visual aid. Indocyanine green fluorescence for lymph node mapping can provide better intraoperative visualization. The purpose of this review is to report the current evidence on this topic.

Materials and methods: A systematic research of the electronic databases Medline, Embase and Google Scholar was conducted from the inception to December 2022.

Results: This review summarizes the current evidence of techniques and results of fluorescence guided lymphatic mapping during gastrointestinal and adrenal surgery.

Conclusion: According to this review, ICG guided lymphadenectomy for gastrointestinal tumours and adrenocortical carcinoma is feasible and safe. In gastrointestinal tumours it allows higher number of harvested lymph nodes.

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ICG近红外荧光成像淋巴结定位:技术和结果。

目的：淋巴结切除术是癌症胃肠道切除术的一个基本步骤，因为切除足够数量的淋巴结对于确定疾病的分期和预后至关重要。癌症的胃和结肠直肠癌切除术和肾上腺切除术中的淋巴切除术在技术上要求很高，可能与出血风险有关。到目前为止，淋巴结切除术通常在没有任何视觉辅助的情况下进行。用于淋巴结标测的吲哚菁绿色荧光可以提供更好的术中可视化。本次审查的目的是报告有关该主题的现有证据。材料和方法：从成立到2022年12月，对电子数据库Medline、Embase和Google Scholar进行了系统研究。结果：这篇综述总结了胃肠和肾上腺手术中荧光引导淋巴管标测技术和结果的最新证据。结论：根据这篇综述，ICG引导下的胃肠道肿瘤和肾上腺皮质癌淋巴结清扫术是可行和安全的。在胃肠道肿瘤中，它可以获得更高数量的淋巴结。

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

Minimally Invasive Therapy & Allied Technologies 医学-外科

CiteScore

3.80

自引率

5.90%

发文量

审稿时长

6-12 weeks

期刊介绍： Minimally Invasive Therapy and Allied Technologies (MITAT) is an international forum for endoscopic surgeons, interventional radiologists and industrial instrument manufacturers. It is the official journal of the Society for Medical Innovation and Technology (SMIT) whose membership includes representatives from a broad spectrum of medical specialities, instrument manufacturing and research. The journal brings the latest developments and innovations in minimally invasive therapy to its readers. What makes Minimally Invasive Therapy and Allied Technologies unique is that we publish one or two special issues each year, which are devoted to a specific theme. Key topics covered by the journal include: interventional radiology, endoscopic surgery, imaging technology, manipulators and robotics for surgery and education and training for MIS.