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The safety and feasibility of intraoperative near-infrared fluorescence imaging with indocyanine green in thoracoscopic sympathectomy for primary palmar hyperhidrosis.
Thorac Cancer. 2020 Feb 15 [Online ahead of print]TC

Abstract

BACKGROUND

We investigated the safety and feasibility of intraoperative near-infrared (NIR) imaging using indocyanine green (ICG) during sympathectomy in the management of primary palmar hyperhidrosis (PPH).

METHODS

We performed a retrospective review of 142 patients (ICG group) who underwent endoscopic thoracic sympathectomy (ETS) between February 2018 and April 2019. All patients received a 5 mg/kg infusion of ICG 24 hours preoperatively. The vital signs before and after ICG injection and adverse reactions were recorded. Meanwhile, 498 patients (Non-ICG group) who underwent ETS by normal thoracoscopy during August 2017 to April 2019 were also reviewed to compare the abnormal white blood cell (WBC) counts, alanine transaminase (ALT), aspartate transaminase (AST), blood urea nitrogen (BUN), and creatinine (Cr) levels before and after operation between two groups.

RESULTS

For ICG group, the vital signs including body temperature, heart rate and blood pressure before and after ICG injection were stable. There was no significant difference in the abnormal WBC counts, ALT, AST, BUN, and Cr levels before and after operation between two groups. Only one patient had mild adverse reaction (0.7%) after ICG injection. The visibility rate of all sympathetic ganglions was 96.7% (1369/1415). The visibility rate from T1 to T5 was 98.23% (278/283), 98.23% (278/283), 97.17% (275/283), 95.76% (271/283), and 94.35% (267/283), respectively. There was no significant difference in the visibility rate with regard to age, gender, height, weight, body mass index, and PPH grade.

CONCLUSIONS

NIR fluorescence imaging with ICG for identifying sympathetic ganglions is relatively safe and feasible.

Authors+Show Affiliations

Department of Thoracic Surgery, Beijing Haidian Hospital (Haidian Section of Peking University Third Hospital), Beijing, China.Department of Thoracic Surgery, Peking University People's Hospital, Beijing, China.Department of Thoracic Surgery, Beijing Haidian Hospital (Haidian Section of Peking University Third Hospital), Beijing, China.Department of Thoracic Surgery, Beijing Haidian Hospital (Haidian Section of Peking University Third Hospital), Beijing, China.Department of Thoracic Surgery, Beijing Haidian Hospital (Haidian Section of Peking University Third Hospital), Beijing, China.Department of Thoracic Surgery, Beijing Haidian Hospital (Haidian Section of Peking University Third Hospital), Beijing, China.Department of Thoracic Surgery, Peking University People's Hospital, Beijing, China.Department of Thoracic Surgery, Peking University People's Hospital, Beijing, China.Department of Thoracic Surgery, Beijing Haidian Hospital (Haidian Section of Peking University Third Hospital), Beijing, China.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

32061064

Citation

Pei, Guotian, et al. "The Safety and Feasibility of Intraoperative Near-infrared Fluorescence Imaging With Indocyanine Green in Thoracoscopic Sympathectomy for Primary Palmar Hyperhidrosis." Thoracic Cancer, 2020.
Pei G, Liu Y, Liu Q, et al. The safety and feasibility of intraoperative near-infrared fluorescence imaging with indocyanine green in thoracoscopic sympathectomy for primary palmar hyperhidrosis. Thorac Cancer. 2020.
Pei, G., Liu, Y., Liu, Q., Min, X., Yang, Y., Wang, S., Liu, J., Wang, J., & Huang, Y. (2020). The safety and feasibility of intraoperative near-infrared fluorescence imaging with indocyanine green in thoracoscopic sympathectomy for primary palmar hyperhidrosis. Thoracic Cancer. https://doi.org/10.1111/1759-7714.13345
Pei G, et al. The Safety and Feasibility of Intraoperative Near-infrared Fluorescence Imaging With Indocyanine Green in Thoracoscopic Sympathectomy for Primary Palmar Hyperhidrosis. Thorac Cancer. 2020 Feb 15; PubMed PMID: 32061064.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The safety and feasibility of intraoperative near-infrared fluorescence imaging with indocyanine green in thoracoscopic sympathectomy for primary palmar hyperhidrosis. AU - Pei,Guotian, AU - Liu,Yanguo, AU - Liu,Qiang, AU - Min,Xianjun, AU - Yang,Yingshun, AU - Wang,Shuai, AU - Liu,Jun, AU - Wang,Jun, AU - Huang,Yuqing, Y1 - 2020/02/15/ PY - 2019/12/22/received PY - 2020/01/13/revised PY - 2020/01/14/accepted PY - 2020/2/16/entrez PY - 2020/2/16/pubmed PY - 2020/2/16/medline KW - Fluorescence imaging KW - hyperhidrosis KW - indocyanine green KW - sympathectomy JF - Thoracic cancer JO - Thorac Cancer N2 - BACKGROUND: We investigated the safety and feasibility of intraoperative near-infrared (NIR) imaging using indocyanine green (ICG) during sympathectomy in the management of primary palmar hyperhidrosis (PPH). METHODS: We performed a retrospective review of 142 patients (ICG group) who underwent endoscopic thoracic sympathectomy (ETS) between February 2018 and April 2019. All patients received a 5 mg/kg infusion of ICG 24 hours preoperatively. The vital signs before and after ICG injection and adverse reactions were recorded. Meanwhile, 498 patients (Non-ICG group) who underwent ETS by normal thoracoscopy during August 2017 to April 2019 were also reviewed to compare the abnormal white blood cell (WBC) counts, alanine transaminase (ALT), aspartate transaminase (AST), blood urea nitrogen (BUN), and creatinine (Cr) levels before and after operation between two groups. RESULTS: For ICG group, the vital signs including body temperature, heart rate and blood pressure before and after ICG injection were stable. There was no significant difference in the abnormal WBC counts, ALT, AST, BUN, and Cr levels before and after operation between two groups. Only one patient had mild adverse reaction (0.7%) after ICG injection. The visibility rate of all sympathetic ganglions was 96.7% (1369/1415). The visibility rate from T1 to T5 was 98.23% (278/283), 98.23% (278/283), 97.17% (275/283), 95.76% (271/283), and 94.35% (267/283), respectively. There was no significant difference in the visibility rate with regard to age, gender, height, weight, body mass index, and PPH grade. CONCLUSIONS: NIR fluorescence imaging with ICG for identifying sympathetic ganglions is relatively safe and feasible. SN - 1759-7714 UR - https://www.unboundmedicine.com/medline/citation/32061064/The_safety_and_feasibility_of_intraoperative_near-infrared_fluorescence_imaging_with_indocyanine_green_in_thoracoscopic_sympathectomy_for_primary_palmar_hyperhidrosis L2 - https://doi.org/10.1111/1759-7714.13345 DB - PRIME DP - Unbound Medicine ER -
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