Unit of Innovation in Minimally Invasive Surgery, Department of General and Digestive Surgery, University Hospital Virgen del Rocio, University of Sevilla, Sevilla, Spain; Unit of General and Digestive Surgery, Hospital Quironsalud Sagrado Corazón, Sevilla, Spain.
Unit of General and Digestive Surgery, Hospital Quironsalud Sagrado Corazón, Sevilla, Spain.
Cir Esp (Engl Ed). 2022 Sep;100(9):534-554. doi: 10.1016/j.cireng.2022.06.023. Epub 2022 Jun 11.
Indocyanine Green is a fluorescent substance visible in near-infrared light. It is useful for the identification of anatomical structures (biliary tract, ureters, parathyroid, thoracic duct), the tissues vascularization (anastomosis in colorectal, esophageal, gastric, bariatric surgery, for plasties and flaps in abdominal wall surgery, liver resection, in strangulated hernias and in intestinal ischemia), for tumor identification (liver, pancreas, adrenal glands, implants of peritoneal carcinomatosis, retroperitoneal tumors and lymphomas) and sentinel node identification and lymphatic mapping in malignant tumors (stomach, breast, colon, rectum, esophagus and skin cancer). The evidence is very encouraging, although standardization of its use and randomized studies with higher number of patients are required to obtain definitive conclusions on its use in general surgery. The aim of this literature review is to provide a guide for the use of ICG fluorescence in general surgery procedures.
吲哚菁绿是一种在近红外光下可见的荧光物质。它可用于识别解剖结构（胆道、输尿管、甲状旁腺、胸导管）、组织血管化（结直肠、食管、胃、减重手术吻合，腹壁手术整形和皮瓣，肝切除术，绞窄性疝和肠缺血）、肿瘤识别（肝、胰腺、肾上腺、腹膜癌种植、腹膜后肿瘤和淋巴瘤）以及恶性肿瘤的前哨淋巴结识别和淋巴作图（胃、乳腺、结肠、直肠、食管和皮肤癌）。虽然需要对其使用进行标准化并进行更多患者的随机研究，以获得其在普通外科中使用的明确结论，但目前的证据非常令人鼓舞。本文综述的目的是为普通外科手术中使用 ICG 荧光提供指导。
