目的:吲哚菁绿荧光(ICG-F)引导手术正在成为儿科外科护理中越来越有用的工具。该共识声明调查了ICG-F在各种儿科外科应用中的实用性,主要集中在它的证据基础上,安全,适应症,在不同的外科专业和给药策略中使用。目的是为ICG-F在儿科手术中的使用建立国际共识。
方法:一个由来自9个国家的15名儿科外科医生组成的国际小组。结构化的过程包括快速的范围审查,迭代讨论会议,与关键利益相关者的混合方法研究,并对个别声明进行投票,以形成共识声明草案。
结果:在审查过程中确定了100篇文章,并通过应用进行了总结。基于这些浓缩的证据,经过3轮迭代的匿名投票,产生了共识声明。协议的关键领域是证据质量,ICG的安全性,儿科手术适应症,每个外科专科的利用率,和ICG的剂量。
结论:本共识声明旨在根据现有的最佳证据,指导医疗保健专业人员在儿科手术病例中管理ICG-F的使用。关键利益相关者咨询,和专家意见。尽管ICG-F潜力巨大,需要更高质量的证据,前瞻性试验,并强调安全性研究。该共识还为儿科外科医生有效利用ICG-F提供了框架。
方法:III.
OBJECTIVE: Indocyanine Green Fluorescence (ICG-F)- guided surgery is becoming an increasingly helpful tool in pediatric surgical care. This
consensus statement investigates the utility of ICG-F in various pediatric surgical applications, primarily focusing on its evidence base, safety, indications, use across different surgical specialties and dosing strategies. The aim is to establish an international
consensus for ICG-F use in pediatric surgery.
METHODS: An international panel of 15 pediatric surgeons from 9 countries was assembled. The structured process consisted of a rapid scoping review, iterative discussion sessions, mixed-methods studies with key stakeholders, and voting rounds on individual statements to create draft consensus statements.
RESULTS: 100 articles were identified during the review and summarized by application. Based on this condensed evidence,
consensus statements were generated after 3 iterative rounds of anonymous voting. Key areas of agreement were quality of evidence, the safety of ICG, pediatric surgical indications, utilization per surgical specialty, and dosing of ICG.
CONCLUSIONS: This
consensus statement aims to guide healthcare professionals in managing ICG-F use in pediatric surgical cases based on the best available evidence, key stakeholder consultation, and expert opinions. Despite ICG-F\'s promising potential, the need for higher-quality evidence, prospective trials, and safety studies is underscored. The
consensus also provides a framework for pediatric surgeons to utilize ICG-F effectively.
METHODS: III.