Marano Alessandra, Priora Fabio, Lenti Luca Matteo, Ravazzoni Ferruccio, Quarati Raoul, Spinoglio Giuseppe
Department of General and Oncologic Surgery, SS Antonio e Biagio Hospital, Via Venezia 16, 15121, Alessandria, Italy,
World J Surg. 2013 Dec;37(12):2800-11. doi: 10.1007/s00268-013-2066-x.
The initial use of the indocyanine green fluorescence imaging system was for sentinel lymph node biopsy in patients with breast or colorectal cancer. Since then, application of this method has received wide acceptance in various fields of surgical oncology, and it has become a valid diagnostic tool for guiding cancer treatment. It has also been employed in numerous conventional surgical procedures with much success and benefit to the patient. The advent of minimally invasive surgery brought with it a new use for fluorescence in helping to improve the safety of these procedures, particularly for single-site procedures. In 2010, a near-infrared camera was integrated into the da Vinci Si System, creating a combination of technical and minimally invasive advantages that have been embraced by several experienced surgeons. The use of fluorescence, although useful, is considered challenging. Only a few studies are currently available on the use of fluorescence in robotic general surgery, whereas many articles have focused on its application in open and laparoscopic surgery. Many of these reports describe promising and satisfactory results, although with some shortcomings. The purpose of this article is to review the current status of the use of fluorescence in general surgery and particularly its role in robotic surgery. We also review potential uses in the future.
吲哚菁绿荧光成像系统最初用于乳腺癌或结直肠癌患者的前哨淋巴结活检。从那时起，该方法在外科肿瘤学的各个领域得到了广泛认可，并已成为指导癌症治疗的有效诊断工具。它还被应用于众多传统外科手术中，取得了巨大成功，并给患者带来了益处。微创手术的出现为荧光带来了新的用途，有助于提高这些手术的安全性，特别是对于单部位手术。2010年，一台近红外摄像头被集成到达芬奇Si系统中，创造了一种技术优势和微创优势相结合的方式，受到了几位经验丰富的外科医生的青睐。荧光的使用虽然有用，但也颇具挑战性。目前关于荧光在机器人普通外科手术中的应用仅有少数研究，而许多文章则聚焦于其在开放手术和腹腔镜手术中的应用。尽管存在一些缺点，但这些报告中的许多都描述了令人鼓舞和满意的结果。本文旨在综述荧光在普通外科手术中的应用现状，特别是其在机器人手术中的作用。我们还将综述其未来的潜在用途。
