Aleman Rene, Aleman Julio, Brozzi Nicolas, Rancati Alberto, Sinagra Diego, Carrasquilla Ana, Rosenthal Raul J, Dip Fernando
Department of General Surgery, Hospital de Clinicas Jose de San Martin, University of Buenos Aires, Ave. Cordoba 2351, C1121ABJ, CABA, Buenos Aires, Argentina.
Department of General Surgery, Cleveland Clinic Florida, Weston, FL, USA.
Surg Endosc. 2025 Jun 23. doi: 10.1007/s00464-025-11884-1.
Fluorescence guided surgery (FGS) has been progressively and globally adapted by multiple surgical disciplines over the last decade. Determining its reach and rate of expansion as a navigational surgical technique is challenging from traditional surveys. Google-trends (GT) was introduced as an ongoing-developing web-kit providing data on search trends to analyze the general population interest on specific topics. The purpose of this study is to implement GT data as an indicator for the world's interest in FGS.
GT was used to access data for specific medical subject headings (MeSH) terms associated with FGS, from 2019 to 2024. Collected data included interest over time, interest by country/continent, and related queries. Data were represented as search interest relative to the highest point on global charts for a given region and time. A value of 100% was set as peak popularity for searched term (s). Multiple correlation analyzes were performed between MeSH terms and surgical subspecialties.
The number of worldwide searches related to the MeSH terms indocyanine green (ICG) and fluorescence imaging (FI) have consistently increased over time, from 47 and 64% in 2019, to 88 and 69% by the end of 2024, respectively. America withholds the continent with the highest interest for ICG and FI, followed by Europe and Asia with 50 and 45%, respectively. Correlation analyzes with surgical subspecialties showed a significant positive relationship between the interest over time for ICG and fluorescent imaging when paired with endocrine surgery (p < 0.0001; p < 0.0001), urologic surgery (p = 0.003; p = 0.002), and gynecologic surgery (p < 0.0001; p = 0.005).
The data conveyed by GT complements the outlook of FGS across the world. Implementing these trends alongside healthcare advocacy and patient therapeutic education, FGS can further expand its applications and potentials to practice safe surgery.
在过去十年中，荧光引导手术（FGS）已逐渐在全球范围内被多个外科领域采用。通过传统调查来确定其作为一种导航手术技术的普及程度和扩展速度具有挑战性。谷歌趋势（GT）作为一种不断发展的网络工具被引入，它提供有关搜索趋势的数据，以分析普通人群对特定主题的兴趣。本研究的目的是将GT数据用作全球对FGS兴趣的指标。
使用GT获取2019年至2024年与FGS相关的特定医学主题词（MeSH）术语的数据。收集的数据包括随时间的兴趣、按国家/大陆划分的兴趣以及相关查询。数据表示为相对于给定区域和时间的全球图表上最高点的搜索兴趣。将搜索词的峰值流行度设定为100%。对MeSH术语和外科亚专业进行了多重相关性分析。
与MeSH术语吲哚菁绿（ICG）和荧光成像（FI）相关的全球搜索数量随时间持续增加，分别从2019年的47%和64%，增至2024年底的88%和69%。美洲是对ICG和FI兴趣最高的大陆，其次是欧洲和亚洲，分别为50%和45%。与外科亚专业的相关性分析表明，ICG和荧光成像随时间的兴趣与内分泌手术（p < 0.0001；p < 0.0001）、泌尿外科手术（p = 0.003；p = 0.002）和妇科手术（p < 0.0001；p = 0.005）配对时呈显著正相关。
GT传达的数据补充了FGS在全球的前景。将这些趋势与医疗保健宣传和患者治疗教育相结合，FGS可以进一步扩大其应用范围和潜力，以实施安全手术。
