Near-infrared fluorescence imaging with indocyanine green to assess the blood supply of the reconstructed gastric conduit to reduce anastomotic leakage after esophagectomy: a literature review
Near-infrared fluorescence imaging with indocyanine green to assess the blood supply of the reconstructed gastric conduit to reduce anastomotic leakage after esophagectomy: a literature review
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使用吲哚菁绿进行近红外荧光成像评估重建胃导管的血液供应以减少食管切除术后吻合口漏：文献综述
DOI：
10.1007/s00595-022-02474-y
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发表时间：
2022
期刊：
影响因子：
2.5
通讯作者：
Hanazaki Kazuhiro
中科院分区：
文献类型：
--
作者：
Kitagawa Hiroyuki;Yokota Keiichiro;Marui Akira;Namikawa Tsutomu;Kobayashi Michiya;Hanazaki Kazuhiro
食管癌切除胃管重建术后胃网膜右动脉的血供对避免吻合口瘘至关重要。使用吲哚菁绿色的近红外荧光（NIRF）成像被广泛用于评估血液供应，因为它可以在导航手术期间实时可视化。然而，这种方式没有既定的协议。缺乏协议的一个原因是NIRF提供了主观信息。本研究旨在评价NIRF定量。我们对食管切除术后吻合口瘘的风险因素、NIRF手术、NIRF定量和弥补NIRF局限性的新方法进行了文献综述。NIRF定量的主要方法包括测量血流速度、可视化时间和荧光强度。血流速度的截止值为2.07 cm/s，可视化时间的截止值为30-90 s。尽管时间-强度曲线提供了血流变化的模式，但并未显示与吻合口漏相关。然而，为了弥补NIRF的局限性，已经报道了可以评估组织氧合灌注、器官血红蛋白浓度和微循环的新设备。
The blood supply of the right gastroepiploic artery after esophagectomy with gastric tube reconstruction is essential for avoiding anastomotic leakage. Near-infrared fluorescence (NIRF) imaging with indocyanine green is widely used to assess the blood supply because it can visualize it in real-time during navigation surgery. However, there is no established protocol for this modality. One reason for this lack of protocol is that NIRF provides subjective information. This study aimed to evaluate NIRF quantification. We conducted a literature review of risk factors for anastomotic leakage after esophagectomy, NIRF procedures, NIRF quantification, and new methods to compensate for NIRF limitations. Major methods for the quantification of NIRF include measuring the blood flow speed, visualization time, and fluorescence intensity. The cutoff value for the blood flow speed is 2.07 cm/s, and that for the visualization time is 30–90 s. Although the time-intensity curve provided patterns of change in the blood flow, it did not show an association with anastomotic leakage. However, to compensate for the limitations of NIRF, new devices have been reported that can assess tissue oxygenation perfusion, organ hemoglobin concentration, and microcirculation.
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DOI：
--
发表时间：
2006
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Am J Surg 191
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