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Indocyanine green: The guide to safer and more effective surgery.

作者信息

Fransvea Pietro, Chiarello Maria Michela, Fico Valeria, Cariati Maria, Brisinda Giuseppe

机构信息

Emergency Surgery and Trauma Center, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome 00168, Italy.

Department of Surgery, Azienda Sanitaria Provinciale di Cosenza, Cosenza 87100, Italy.

出版信息

World J Gastrointest Surg. 2024 Mar 27;16(3):641-649. doi: 10.4240/wjgs.v16.i3.641.


DOI:10.4240/wjgs.v16.i3.641
PMID:38577071
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10989327/
Abstract

In this editorial we comment on the article by Kalayarasan and co-workers published in the recent issue of the W. The authors present an interesting review on the use of indocyanine green fluorescence in different aspects of abdominal surgery. They also highlight future perspectives of the use of indocyanine green in mini-invasive surgery. Indocyanine green, used for fluorescence imaging, has been approved by the Food and Drug Administration and is safe for use in humans. It can be administered intravenously or intra-arterially. Since its advent, there have been several advancements in the applications of indocyanine green, especially in the surgical field, such as intraoperative mapping and biopsy of sentinel lymph node, measurement of hepatic function prior to resection, in neurosurgical cases to detect vascular anomalies, in cardiovascular cases for patency and assessment of vascular abnormalities, in predicting healing following amputations, in helping visualization of hepatobiliary anatomy and blood vessels, in reconstructive surgery, to assess flap viability and for the evaluation of tissue perfusion following major trauma and burns. For these reasons, the intraoperative use of indocyanine green has become common in a variety of surgical specialties and transplant surgery. Colorectal surgery has just lately begun to adopt this technique, particularly for perfusion visualization to prevent anastomotic leakage. The regular use of indocyanine green coupled with fluorescence angiography has recently been proposed as a feasible tool to help improve patient outcomes. Using the best available data, it has been shown that routine use of indocyanine green in colorectal surgery reduces the rates of anastomotic leak. The use of indocyanine green is proven to be safe, feasible, and effective in both elective and emergency scenarios. However, additional robust evidence from larger-scale, high-quality studies is essential before incorporating indocyanine green guided surgery into standard practice.

摘要

相似文献

[1]
Indocyanine green: The guide to safer and more effective surgery.

World J Gastrointest Surg. 2024-3-27

[2]
[Intra-operative fluorescence angiography of colorectal anastomotic perfusion: a technical aspects].

Rozhl Chir. 2018

[3]
Indocyanine Green Fluorescence Angiography and the Incidence of Anastomotic Leak After Colorectal Resection for Colorectal Cancer: A Meta-analysis.

Dis Colon Rectum. 2018-10

[4]
Real-time indocyanine green fluorescence technique reduces anastomotic leakage in bilioenteric anastomosis: A case report and literature review.

Photodiagnosis Photodyn Ther. 2023-6

[5]
Cost analysis of indocyanine green fluorescence angiography for prevention of anastomotic leakage in colorectal surgery.

Surg Endosc. 2022-12

[6]
Current applications of indocyanine green (ICG) in abdominal, gynecologic and urologic surgery: a meta-review and quality analysis with use of the AMSTAR 2 instrument.

Surg Endosc. 2024-2

[7]
Indocyanine green-enhanced fluorescence to assess bowel perfusion during laparoscopic colorectal resection.

Surg Endosc. 2016-7

[8]
Systemic Sentinel Lymph Node Detection Using Fluorescence Imaging After Indocyanine Green Intravenous Injection in Colorectal Cancer: Protocol for a Feasibility Study.

JMIR Res Protoc. 2020-8-14

[9]
Indocyanine green fluorescence angiography decreases the risk of colorectal anastomotic leakage: Systematic review and meta-analysis.

Surgery. 2020-12

[10]
Near-Infrared Indocyanine Green-Enhanced Fluorescence and Minimally Invasive Colorectal Surgery: Review of the Literature.

Surg Technol Int. 2018-11-11

引用本文的文献

[1]
Indocyanine Green-Loaded Quenched Nanoliposomes as Activatable Theranostics for Cancer.

Molecules. 2025-3-22

[2]
A Green Lantern for the Surgeon: A Review on the Use of Indocyanine Green (ICG) in Minimally Invasive Surgery.

J Clin Med. 2024-8-19

本文引用的文献

[1]
Indocyanine green fluorescence in gastrointestinal surgery: Appraisal of current evidence.

World J Gastrointest Surg. 2023-12-27

[2]
Current standards of lymphadenectomy in gastric cancer.

Updates Surg. 2024-1

[3]
Indocyanine green dye and its application in gastrointestinal surgery: The future is bright green.

World J Gastrointest Surg. 2023-9-27

[4]
Preservation of the inferior mesenteric artery VS ligation of the inferior mesenteric artery in left colectomy: evaluation of functional outcomes: a prospective non-randomized controlled trial.

Updates Surg. 2023-12

[5]
Application of fluorescence-guided surgery in the acute care setting: a systematic literature review.

Langenbecks Arch Surg. 2023-9-25

[6]
Indocyanine Green Fluorescence-Guided Surgery for Gastrointestinal Tumors: A Systematic Review.

Ann Surg Open. 2022-9-2

[7]
Application of indocyanine green in surgery: A review of current evidence and implementation in trauma patients.

World J Gastrointest Surg. 2023-5-27

[8]
Pattern of Distribution of Lymph Node Metastases in Individual Stations in Middle and Lower Gastric Carcinoma.

Cancers (Basel). 2023-4-4

[9]
Anastomotic leakage in rectal cancer surgery: Retrospective analysis of risk factors.

World J Clin Cases. 2022-12-26

[10]
Intra-operative indocyanine green fluorescence imaging in hepatobiliary surgery: a narrative review of the literature as a useful guide for the surgeon.

Updates Surg. 2023-1

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