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术中吲哚菁绿荧光成像在机器人手术中的应用:现状、当前应用中的技巧与窍门。

INDOCYANINE GREEN FLUORESCENCE IMAGING IN ROBOTIC SURGERY: STATE OF ART, TIPS AND TRICKS IN CURRENT APPLICATIONS.

机构信息

Cirurgia Robótica, Instituto Morrell, São Paulo, SP, Brasil.

Cirurgia Geral e Cirurgia do Aparelho Digestivo, Hospital Israelita Albert Einstein, São Paulo, SP, Brasil.

出版信息

Arq Gastroenterol. 2021 Jan-Mar;58(1):61-70. doi: 10.1590/S0004-2803.202100000-11.

Abstract

BACKGROUND

Fluorescent imaging with indocyanine green is an emerging technology whose benefits are put in perspective.

OBJECTIVE

This article reports essential principles and approaches of intraoperative fluorescence in general surgery bringing familiarity to its practical usage. Our group describes possible pitfalls and provides tips and tricks for training surgeons making their attempts easier and reproducible during practice.

METHODS

This study overviews the most structured concepts, practical applications and its tricks in robotic fluorescence guided imaging surgery with indocyanine green. Possible pitfalls are emphasized and emerging fields of application are put in a perspective.

RESULTS

Guided information and practical applications in several surgical fields are described for a safe and reproducible indocyanine green fluorescence imaging use.

CONCLUSION

Robotic assisted surgery combined to fluorescence imaging technology represents a logical evolution in image guided surgery and technology familiarity with guided information may represent a wider and safer spectrum of use in surgeons' hands.

摘要

背景

吲哚菁绿荧光成像是一种新兴的技术,其优势正在被逐步认识。

目的

本文介绍了普通外科手术中术中荧光的基本原理和方法,使其在实际应用中得到普及。我们的团队描述了可能出现的陷阱,并为培训外科医生提供了技巧和窍门,使他们在实践中更容易掌握和重复。

方法

本研究综述了机器人荧光引导成像手术中吲哚菁绿的最结构化概念、实际应用及其技巧。强调了可能出现的陷阱,并将新兴的应用领域进行了展望。

结果

描述了几种外科领域的引导信息和实际应用,以确保吲哚菁绿荧光成像使用的安全性和可重复性。

结论

机器人辅助手术与荧光成像技术相结合代表了图像引导手术的逻辑演进,而对引导信息的熟悉可能代表了外科医生手中更广泛和更安全的应用范围。

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