Intraoperative uses of near-infrared fluorescence spectroscopy in pediatric surgery: A systematic review.

Child Digestive System Surgical Procedures Humans Postoperative Complications Spectrometry, Fluorescence Spectroscopy, Near-Infrared / methods
Fluorescence ICG Intraoperative NIRS Near-infrared spectroscopy Pediatric surgery

Journal

Journal of pediatric surgery
ISSN: 1531-5037
Titre abrégé: J Pediatr Surg
Pays: United States
ID NLM: 0052631

Informations de publication

Date de publication:
Jun 2022
Historique:
received: 31 12 2021
accepted: 22 01 2022
pubmed: 9 3 2022
medline: 24 5 2022
entrez: 8 3 2022
Statut: ppublish

Résumé

The application of near infrared spectroscopy (NIRS) imaging in surgery is growing. This study aimed to systematically review the literature to summarize the intraoperative uses of NIRS in pediatric surgery. A PRISMA-compliant literature search was conducted in PubMed, Embase, Scopus, and Web of Science from inception to February 2020. Title/abstract and then full-text screening were performed. The Oxford centre for Evidence Based Medicine tool (OCEBM) was used to evaluate the level of evidence of included studies. Reviewers identified 53 articles. Of which, 34 studies (64.2%) were case-series and 11 (20.8%) were case reports. Most of the studies (n = 45, 84.9%) were level 4 on the OCEBM tool. The most common uses of NIRS were to visualize the biliary tree and to identify primary and metastatic malignant tissues. Other applications include assessment of perfusion of tissues including bowel anastomoses, and lymphatic surgery. Several advantages of the introduction of NIRS in pediatric surgery exist including having the potential to reduce operative time and intra/post-operative complications. Moreover, NIRS helps in detecting malignant tissues that can be missed by conventional imaging. However, NIRS has important limitations such as difficulty in identification of the biliary tree in obese patients or inflamed gallbladder, detection of small deeply localized malignant tissues, as well as the high cost. NIRS is a promising modality that can be used intraoperatively to augment different pediatric surgical procedures. NIRS has important advantages and limitations compared to conventional surgery, however, more studies are required to evaluate its outcomes and cost-effectiveness. IV.

Sections du résumé

BACKGROUND BACKGROUND
The application of near infrared spectroscopy (NIRS) imaging in surgery is growing. This study aimed to systematically review the literature to summarize the intraoperative uses of NIRS in pediatric surgery.
METHODS METHODS
A PRISMA-compliant literature search was conducted in PubMed, Embase, Scopus, and Web of Science from inception to February 2020. Title/abstract and then full-text screening were performed. The Oxford centre for Evidence Based Medicine tool (OCEBM) was used to evaluate the level of evidence of included studies.
RESULTS RESULTS
Reviewers identified 53 articles. Of which, 34 studies (64.2%) were case-series and 11 (20.8%) were case reports. Most of the studies (n = 45, 84.9%) were level 4 on the OCEBM tool. The most common uses of NIRS were to visualize the biliary tree and to identify primary and metastatic malignant tissues. Other applications include assessment of perfusion of tissues including bowel anastomoses, and lymphatic surgery. Several advantages of the introduction of NIRS in pediatric surgery exist including having the potential to reduce operative time and intra/post-operative complications. Moreover, NIRS helps in detecting malignant tissues that can be missed by conventional imaging. However, NIRS has important limitations such as difficulty in identification of the biliary tree in obese patients or inflamed gallbladder, detection of small deeply localized malignant tissues, as well as the high cost.
CONCLUSIONS CONCLUSIONS
NIRS is a promising modality that can be used intraoperatively to augment different pediatric surgical procedures. NIRS has important advantages and limitations compared to conventional surgery, however, more studies are required to evaluate its outcomes and cost-effectiveness.
LEVEL OF EVIDENCE METHODS
IV.

Identifiants

DOI: 10.1016/j.jpedsurg.2022.01.039 PMID: 35256157
pubmed: 35256157
pii: S0022-3468(22)00102-6
doi: 10.1016/j.jpedsurg.2022.01.039
pii:
doi:

Types de publication

Journal Article Systematic Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

1137-1144

Informations de copyright

Copyright © 2022 Elsevier Inc. All rights reserved.

Déclaration de conflit d'intérêts

Declarations of Competing Interest None

Auteurs

Heba Alghoul (H)

Faculty of Medicine, Islamic University of Gaza, Palestine.

Farah Al Farajat (FA)

Faculty of Medicine, Jordan University of Science and Technology, Jordan.

Osaid Alser (O)

Massachusetts General Hospital, Harvard Medical School, Boston, MA, United States.

Andrea Rogers Snyr (AR)

Beaumont Children's and Oakland University William Beaumont School of Medicine, 3535 W 13 Mile Rd, Ste 307, Royal Oak, MI 48073, United States.

Carroll M Harmon (CM)

Division of Pediatric Surgery, Department of Surgery, Jacobs School of Medicine and Biomedical Sciences, University in Buffalo, NY, United States.

Nathan M Novotny (NM)

Beaumont Children's and Oakland University William Beaumont School of Medicine, 3535 W 13 Mile Rd, Ste 307, Royal Oak, MI 48073, United States; Monroe Carell, Jr. Children's Hospital at Vanderbilt, Nashville, TN, United States. Electronic address: Nathan.Novotny@beaumont.edu.

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Classifications MeSH

questionsmedicales.fr › Personnes › Tranches d'âge › Enfant › Intraoperative uses of near-infrared...
questionsmedicales.fr › Procédures de chirurgie opératoire › Procédures de chirurgie digestive › Intraoperative uses of near-infrared...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Intraoperative uses of near-infrared...
questionsmedicales.fr › États, signes et symptômes pathologiques › Processus pathologiques › Complications postopératoires › Intraoperative uses of near-infrared...
questionsmedicales.fr › Techniques d'investigation › Techniques de chimie analytique › Analyse spectrale › Spectrométrie de fluorescence › Intraoperative uses of near-infrared...
questionsmedicales.fr › Techniques d'investigation › Techniques de chimie analytique › Analyse spectrale › Spectroscopie proche infrarouge › Intraoperative uses of near-infrared...