ICG fluorescence imaging has gained popularity in hepatobiliary surgery in recent years. However, there is varied evidence on the use, dosage, and timing of administration of ICG in clinical practice. To standardize the use of this imaging modality in hepatobiliary surgery, a panel of pioneering experts from the Asia-Pacific region sought to establish a set of consensus recommendations by consolidating the available evidence and clinical experiences.
A total of 13 surgeons experienced in hepatobiliary surgery and/or minimally invasive surgery formed an expert consensus panel in Shanghai, China in October 2018. By the modified Delphi method, they presented the relevant evidence, discussed clinical experiences, and derived consensus statements on the use of ICG in hepatobiliary surgery. Each statement was discussed and modified until a unanimous consensus was achieved.
A total of 7 recommendations for the clinical applications of ICG in hepatobiliary surgery were formulated.
The Shanghai consensus recommendations offer practical tips and techniques to augment the safety and technical feasibility of ICG fluorescence-guided hepatobiliary surgery, including laparoscopic cholecystectomy, liver segmentectomy, and liver transplantation.
近年来,ICG荧光成像在肝胆手术中得到了普及。然而,关于使用有各种各样的证据,剂量,以及在临床实践中使用ICG的时机。为了规范这种成像方式在肝胆外科手术中的使用,来自亚太地区的先驱专家小组通过整合现有证据和临床经验,寻求建立一套共识性建议.
共有13名具有肝胆外科和/或微创外科经验的外科医生在上海形成专家共识小组,2018年10月中国。通过改进的德尔菲法,他们提出了相关证据,讨论临床经验,并得出关于ICG在肝胆手术中使用的共识声明。每个声明都经过讨论和修改,直到达成一致共识。
针对ICG在肝胆外科中的临床应用提出了总共7个建议。
上海共识建议为增强ICG荧光引导肝胆外科手术的安全性和技术可行性提供了实用的技巧和技术。包括腹腔镜胆囊切除术,肝段切除术,和肝移植。