Aplicaciones de la fluorescencia con verde de indocianina en anastomosis de cirugía colorrectal: una revisión bibliográfica.
DOI:
https://doi.org/10.56048/MQR20225.7.3.2023.2997-3027Palabras clave:
Inmunofluorescencia, verde de indocianina, cirugía colorrectal robótica, ICG, Cirugía laparoscópica.Resumen
Introducción: Durante una cirugía intestinal uno de los desafíos más importantes es mantener la vitalidad intestinal determinando su viabilidad para evitar complicaciones como resección intestinal (1). La fuga anastomótica (LA) sigue siendo la complicación más temida, con una frecuencia de hasta el 30% en centros de no gran volumen (2). La angiografía con fluorescencia ICG podría ser un método objetivo y no invasivo para evaluar la viabilidad intestinal y determinar correctamente la extensión de la isquemia (3). Objetivo general: Analizar la eficacia de la aplicación de la fluorescencia verde de indocianina en la cirugía de colon y recto mediante una revisión bibliográfica. Metodología: Revisión bibliográfica tipo narrativa en estudios, metaanálisis, revisiones sistemáticas, ensayos clínicos controlados, estudios de cohortes, revisiones bibliográficas que reporten el papel de la fluorescencia verde de indocianina en la cirugía colorrectal desde 2018 a 2023, en los idiomas inglés y español. Resultados esperados: Se espera eficaz la aplicación de la fluorescencia verde de indocianina en la cirugía de colon y recto.
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