手术中的荧光和示踪剂:未来在前方

IF 1.3 4区 医学 Q3 SURGERY Cirugia Espanola Pub Date : 2024-07-01 DOI:10.1016/j.ciresp.2024.05.014
Salvador Morales-Conde , Laura Navarro-Morales , Francisco Moreno-Suero , Andrea Balla , Eugenio Licardie
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引用次数: 0

摘要

我们在外科领域看到的这场革命将决定未来几年我们对手术方法的理解。自微创手术开始实施以来,创新技术不断发展,使腹腔镜手术方法更进一步,并应用于越来越多的手术中。近年来,我们又迎来了另一个革命性的时代:机器人手术、人工智能应用和图像引导手术。后者包括用于手术规划的三维重建、虚拟现实、全息图或示踪引导手术,其中 ICG 引导荧光为手术提供了一个不同的视角。ICG 已被用于识别解剖结构、评估组织灌注、识别肿瘤或肿瘤淋巴引流。但最重要的是,这项技术与开发其他类型示踪剂的潜力齐头并进,这些示踪剂将有助于识别肿瘤细胞和输尿管,而不同的光束也可用于识别解剖结构。这将导致其他类型的系统在不使用示踪剂的情况下评估组织灌注,如高光谱成像。再加上即将推出的 ICG 定量技术,这些发展代表着外科领域一场真正的革命。随着这些技术进步的即将实施,对其在普通外科中的临床应用进行回顾是非常及时的,而本综述正是为了实现这一目标。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Fluorescencia y trazadores en cirugía: el futuro que nos viene

The revolution that we are seeing in the world of surgery will determine the way we understand surgical approaches in coming years. Since the implementation of minimally invasive surgery, innovations have constantly been developed to allow the laparoscopic approach to go further and be applied to more and more procedures. In recent years, we have been in the middle of another revolutionary era, with robotic surgery, the application of artificial intelligence and image-guided surgery. The latter includes 3D reconstructions for surgical planning, virtual reality, holograms or tracer-guided surgery, where ICG-guided fluorescence has provided a different perspective on surgery.

ICG has been used to identify anatomical structures, assess tissue perfusion, and identify tumors or tumor lymphatic drainage. But the most important thing is that this technology has come hand in hand with the potential to develop other types of tracers that will facilitate the identification of tumor cells and ureters, as well as different light beams to identify anatomical structures. These will lead to other types of systems to assess tissue perfusion without the use of tracers, such as hyperspectral imaging. Combined with the upcoming introduction of ICG quantification, these developments represent a real revolution in the surgical world. With the imminent implementation of these technological advances, a review of their clinical application in general surgery is timely, and this review serves that aim.

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来源期刊
Cirugia Espanola
Cirugia Espanola SURGERY-
CiteScore
1.20
自引率
21.10%
发文量
173
审稿时长
53 days
期刊介绍: Cirugía Española, an official body of the Asociación Española de Cirujanos (Spanish Association of Surgeons), will consider original articles, reviews, editorials, special articles, scientific letters, letters to the editor, and medical images for publication; all of these will be submitted to an anonymous external peer review process. There is also the possibility of accepting book reviews of recent publications related to General and Digestive Surgery.
期刊最新文献
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