Evaluating the Development Status of Fluorescence-Guided Surgery (FGS) in Pediatric Surgery Using the Idea, Development, Exploration, Assessment, and Long-Term Study (IDEAL) Framework.

Evaluating the Development Status of Fluorescence-Guided Surgery (FGS) in Pediatric Surgery Using the Idea, Development, Exploration, Assessment, and Long-Term Study (IDEAL) Framework.
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DOI:
10.3390/children10040689
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发表时间:
2023-04-05
期刊:
Children (Basel, Switzerland)
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荧光引导手术(FGS)用于许多儿科专科,但目前没有标准指南或结果数据。我们的目的是利用理念、发展、探索、评估和长期研究(IDEAL)框架评估FGS在儿科中的现状。系统回顾2000年1月至2022年12月发表的关于儿童FGS的临床论文。研究发展的阶段是根据七个应用领域来衡量的:胆道树成像、胃肠道手术的血管灌注、淋巴管流成像、肿瘤切除、泌尿生殖外科、整形外科和其他手术。59篇文章入选。对于每个应用领域,总的IDEAL阶段被确定为胆道树成像2a(10篇论文,102例),胃肠手术血管灌注1(8篇论文,28例),淋巴流成像1(12篇论文,33例),肿瘤切除2a(20篇论文,238例),泌尿生殖外科2a(9篇论文,197例),整形外科1-2a(4篇论文,26例)。有一份报告不属于任何类别。儿童的FGS仍处于采用和发展的早期阶段。我们建议使用IDEAL框架作为指导,并建议开展多中心研究,以确定标准指南、有效性和结果。
Fluorescence-guided surgery (FGS) is used in many pediatric subspecialties but there are currently no standard guidelines or outcome data. We aimed to assess the current status of FGS in pediatrics using the Idea, Development, Exploration, Assessment, and Long-term study (IDEAL) framework. Clinical papers on FGS in children published from January 2000 to December 2022 were systematically reviewed. The stage of research development was measured considering seven fields of application: biliary tree imaging, vascular perfusion for gastrointestinal procedures, lymphatic flow imaging, tumor resection, urogenital surgery, plastic surgery, and miscellaneous procedures. Fifty-nine articles were selected. For each field of application, the overall IDEAL stage was determined to be 2a for biliary tree imaging (10 publications, 102 cases), 1 for vascular perfusion for gastrointestinal procedures (8 publications, 28 cases), 1 for lymphatic flow imaging (12 publications, 33 cases), 2a for tumor resection (20 publications, 238 cases), 2a for urogenital surgery (9 publications, 197 cases), and 1-2a for plastic surgery (4 publications, 26 cases). One report did not belong to any categories. FGS in children is still in an early phase of adoption and development. We recommend using the IDEAL framework as a guide and suggest developing multicenter studies to define the standard guidelines, effectiveness, and outcomes.
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