Cassinotti E, Boni L, Baldari L
Department of Surgery, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Lombardia, Italy.
Updates Surg. 2023 Feb;75(2):357-365. doi: 10.1007/s13304-022-01361-y. Epub 2022 Oct 6.
Indocyanine green (ICG) fluorescence-guided surgery is a modality of intra-operative navigation that might support the surgeon with enhanced visualization of anatomical structures in real time. Over the last years, it has emerged as one of the most promising and rapidly developing technical innovations in surgery. The most popular current clinical applications include fluorescence cholangiography, bowel anastomotic perfusion assessment, fluorescence-guided lymphography for sentinel lymph-node identification and guided lymphadenectomy and the possible use in oncological surgery for the identification and localization of tumors and the diagnosis and treatment of peritoneal carcinosis. This paper provides an overview of the multiple fields of applications of ICG fluorescence-guided surgery in visceral and oncological surgery, discussing indications summarizing most recent and significative available literature and giving technical notes of use.
吲哚菁绿（ICG）荧光引导手术是一种术中导航方式，可实时增强手术医生对解剖结构的可视化。在过去几年中，它已成为外科领域最有前景且发展迅速的技术创新之一。目前最常见的临床应用包括荧光胆管造影、肠吻合口灌注评估、用于前哨淋巴结识别和引导淋巴结清扫的荧光引导淋巴管造影，以及在肿瘤外科中用于肿瘤识别和定位以及腹膜癌的诊断和治疗。本文概述了ICG荧光引导手术在内脏和肿瘤外科中的多个应用领域，讨论了适应证，总结了最新且有意义的现有文献，并给出了使用技术说明。
