Real-time fluorescence image-guided gastrointestinal oncologic surgery:Towards a new era
作者机构:Department of SurgeryUniversity of ValenciaValencia 46010Spain Department of General and Digestive SurgeryHospital Universitario Doctor PesetValencia 46017Spain Faculty of Health SciencesValencian International UniversityValencia 46002Spain Minimally Invasive and Robotic Digestive Surgery UnitMiulli HospitalAcquaviva delle Fonti 70021Italy Department of General and Digestive SurgeryHospital Universitario y Politécnico La FeValencia 46026Spain
出 版 物:《World Journal of Gastrointestinal Oncology》 (世界胃肠肿瘤学杂志(英文版)(电子版))
年 卷 期:2021年第13卷第9期
页 面:1029-1042页
核心收录:
学科分类:1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学]
主 题:Surgery Colorectal cancer Esophageal cancer Fluorescence Image-guided surgery Anastomotic leak Lymph node
摘 要:Technological improvements are crucial in the evolution of ***-time fluorescence-guided surgery(FGS)has spread worldwide,mainly because of its usefulness during the intraoperative decision-making *** success of any gastrointestinal oncologic resection is based on the anatomical identification of the primary tumor and its regional lymph *** allows also to evaluate the blood perfusion at the gastrointestinal stumps after colorectal or esophageal ***,a reduction on the anastomotic leak rates has been postulated as one of the foreseeable benefits provided by the use of FGS in these *** the use of fluorescence in lymph node detection was initially described in breast cancer surgery,the technique is currently applied in gastric or splenic flexure cancers,as they both present complex and variable lymphatic *** allows also to perform intraoperative lymphograms or sentinel lymph node *** applications of FGS are being developed to assist in the detection of peritoneal metastases or in the evaluation of the tumor resection *** present review aims to provide a general overview of the current status of real-time FGS in gastrointestinal oncologic *** put a special focus on the different applications of FGS,discussing the main findings and limitations found in the contemporary literature and also the promising near future applications.