Practical Guidelines for the Use of Indocyanine Green in Different Branches of Pediatric Surgery: A Polish Nationwide Multi‐Center Retrospective Cohort Study
ABSTRACT Background and Aim Pediatric surgery requires high precision and safety due to children's unique anatomy and physiology. Innovations that enhance surgical precision, reduce operative time, and improve postoperative outcomes are invaluable. Indocyanine green (ICG), a near‐infrared fluor...
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| Main Authors: | , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
2025-03-01
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| Series: | Health Science Reports |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/hsr2.70586 |
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| Summary: | ABSTRACT Background and Aim Pediatric surgery requires high precision and safety due to children's unique anatomy and physiology. Innovations that enhance surgical precision, reduce operative time, and improve postoperative outcomes are invaluable. Indocyanine green (ICG), a near‐infrared fluorescent dye, has received significant attention for its potential to address these needs. The study aimed to describe applications of ICH in pediatric surgery in Poland, provide evidence to support integration of ICG into pediatric surgical practice and evaluate the safety and feasibility of ICG. Methods Data were collected from the medical records of 136 patients undergoing surgical treatment in four leading pediatric surgical clinical centers in Poland. There are four main groups of surgical procedures: oncological, gastrointestinal, urological and lymphatic. Calculations were performed using Statistica 13 by TIBCO and PQStat v. 1.8.6.120 by PQStat Software. Additionally, descriptive statistics were performed. Results The efficacy and safety of ICG were confirmed in the entire study group. No complications were reported with the use of the indocyanine green. Exhaustive descriptive statistics presented key information on the use of ICG for each of the studied groups. Conclusions The study validates the efficacy and safety of ICG fluorescence imaging in pediatric surgery. By enhancing surgical precision and improving postoperative outcomes, ICG represents a significant advancement in pediatric surgical care. The establishment of standardized protocols and the emphasis on specialized training will be key to maximizing the benefits of ICG. |
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| ISSN: | 2398-8835 |