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近红外荧光成像在机器人泌尿外科手术中的当前应用:文献的系统评价与批判性分析

Current applications of near-infrared fluorescence imaging in robotic urologic surgery: a systematic review and critical analysis of the literature.

作者信息

Autorino Riccardo, Zargar Homayoun, White Wesley M, Novara Giacomo, Annino Filippo, Perdonà Sisto, De Angelis Michele, Mottrie Alexandre, Porpiglia Francesco, Kaouk Jihad H

机构信息

Department of Urology, Glickman Urological and Kidney Institute, Cleveland Clinic, Cleveland, OH; Urology Unit, Second University of Naples, Naples, Italy.

Department of Urology, Glickman Urological and Kidney Institute, Cleveland Clinic, Cleveland, OH.

出版信息

Urology. 2014 Oct;84(4):751-9. doi: 10.1016/j.urology.2014.05.059.

Abstract

Herein, we provide a systematic review and critical analysis of the current evidence on the applications of near-infrared fluorescence in robotic urologic surgery. Article selection proceeded according to Preferred Reporting Items for Systematic Reviews and Meta-analyses criteria. Overall, 14 studies were identified and included. Indocyanine green fluorescence imaging system has been tested for several applications, robotic partial nephrectomy representing the most studied one. Available evidence suggests this technology can be of aid in visually defining the surgical anatomy, thus ultimately facilitating the task of the console surgeon. Whether the added cost is justified by better outcomes remains to be determined.

摘要

在此,我们对近红外荧光在机器人泌尿外科手术中的应用的当前证据进行了系统综述和批判性分析。文章选择按照系统评价和荟萃分析的首选报告项目标准进行。总体而言,共识别并纳入了14项研究。吲哚菁绿荧光成像系统已在多种应用中进行了测试,机器人部分肾切除术是研究最多的一项。现有证据表明,该技术有助于在视觉上界定手术解剖结构,从而最终便于控制台外科医生完成手术任务。增加的成本是否能因更好的治疗效果而得到合理证明仍有待确定。

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