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: Patrycja Sosnowska‐Sienkiewicz, Grzegorz Kowalewski, Hanna Garnier, Anna Wojtylko, Maciej Murawski, Marta Szczygieł, Magdalena Al‐Ameri, Piotr Czauderna, Jan Godzinski, Piotr Kalicinski, Przemysław Mankowski
Format: Article
Language:English
Published: Wiley 2025-03-01
Series:Health Science Reports
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Online Access:https://doi.org/10.1002/hsr2.70586
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author Patrycja Sosnowska‐Sienkiewicz
Grzegorz Kowalewski
Hanna Garnier
Anna Wojtylko
Maciej Murawski
Marta Szczygieł
Magdalena Al‐Ameri
Piotr Czauderna
Jan Godzinski
Piotr Kalicinski
Przemysław Mankowski
author_facet Patrycja Sosnowska‐Sienkiewicz
Grzegorz Kowalewski
Hanna Garnier
Anna Wojtylko
Maciej Murawski
Marta Szczygieł
Magdalena Al‐Ameri
Piotr Czauderna
Jan Godzinski
Piotr Kalicinski
Przemysław Mankowski
author_sort Patrycja Sosnowska‐Sienkiewicz
collection DOAJ
description 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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spelling doaj-art-ae480ad4bdd24328b48d32d917ab85a32025-08-20T01:50:26ZengWileyHealth Science Reports2398-88352025-03-0183n/an/a10.1002/hsr2.70586Practical Guidelines for the Use of Indocyanine Green in Different Branches of Pediatric Surgery: A Polish Nationwide Multi‐Center Retrospective Cohort StudyPatrycja Sosnowska‐Sienkiewicz0Grzegorz Kowalewski1Hanna Garnier2Anna Wojtylko3Maciej Murawski4Marta Szczygieł5Magdalena Al‐Ameri6Piotr Czauderna7Jan Godzinski8Piotr Kalicinski9Przemysław Mankowski10Department of Pediatric Surgery, Traumatology and Urology Poznan University of Medical Sciences Poznań PolandDepartment of Pediatric Surgery and Organ Transplantation The Children's Memorial Health Institute Warsaw PolandDepartment of Surgery and Urology for Children and Adolescents Medical University of Gdansk Gdansk PolandDepartment of Pediatric Surgery Marciniak Hospital Wroclaw PolandDepartment of Surgery and Urology for Children and Adolescents Medical University of Gdansk Gdansk PolandDepartment of Pediatric Surgery, Traumatology and Urology Poznan University of Medical Sciences Poznań PolandDepartment of Pediatric Surgery and Organ Transplantation The Children's Memorial Health Institute Warsaw PolandDepartment of Surgery and Urology for Children and Adolescents Medical University of Gdansk Gdansk PolandDepartment of Pediatric Surgery Marciniak Hospital Wroclaw PolandDepartment of Pediatric Surgery and Organ Transplantation The Children's Memorial Health Institute Warsaw PolandDepartment of Pediatric Surgery, Traumatology and Urology Poznan University of Medical Sciences Poznań PolandABSTRACT 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.https://doi.org/10.1002/hsr2.70586childrenfluorescenceICGindocyanine greenintraoperative assessmentpediatric surgery
spellingShingle Patrycja Sosnowska‐Sienkiewicz
Grzegorz Kowalewski
Hanna Garnier
Anna Wojtylko
Maciej Murawski
Marta Szczygieł
Magdalena Al‐Ameri
Piotr Czauderna
Jan Godzinski
Piotr Kalicinski
Przemysław Mankowski
Practical Guidelines for the Use of Indocyanine Green in Different Branches of Pediatric Surgery: A Polish Nationwide Multi‐Center Retrospective Cohort Study
Health Science Reports
children
fluorescence
ICG
indocyanine green
intraoperative assessment
pediatric surgery
title Practical Guidelines for the Use of Indocyanine Green in Different Branches of Pediatric Surgery: A Polish Nationwide Multi‐Center Retrospective Cohort Study
title_full Practical Guidelines for the Use of Indocyanine Green in Different Branches of Pediatric Surgery: A Polish Nationwide Multi‐Center Retrospective Cohort Study
title_fullStr Practical Guidelines for the Use of Indocyanine Green in Different Branches of Pediatric Surgery: A Polish Nationwide Multi‐Center Retrospective Cohort Study
title_full_unstemmed Practical Guidelines for the Use of Indocyanine Green in Different Branches of Pediatric Surgery: A Polish Nationwide Multi‐Center Retrospective Cohort Study
title_short Practical Guidelines for the Use of Indocyanine Green in Different Branches of Pediatric Surgery: A Polish Nationwide Multi‐Center Retrospective Cohort Study
title_sort practical guidelines for the use of indocyanine green in different branches of pediatric surgery a polish nationwide multi center retrospective cohort study
topic children
fluorescence
ICG
indocyanine green
intraoperative assessment
pediatric surgery
url https://doi.org/10.1002/hsr2.70586
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