{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T08:33:43Z","timestamp":1740126823726,"version":"3.37.3"},"reference-count":26,"publisher":"Georg Thieme Verlag KG","issue":"07","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Z Gastroenterol"],"published-print":{"date-parts":[[2021,7]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>\n          Hintergrund Die Fluoreszenz-Angiografie (FA) mit Indocyanin-Gr\u00fcn (ICG) und das Hyperspektral-Imaging (HSI) sind neue intraoperative Visualisierungsm\u00f6glichkeiten in der Abdominal-, Gef\u00e4\u00df- und Transplantationschirurgie. Ziel ist es, damit die postoperative Morbidit\u00e4t und Mortalit\u00e4t im Sinne der Pr\u00e4zisionschirurgie und Patientensicherheit zu reduzieren. In diesem Artikel werden aktuelle Daten und das zuk\u00fcnftige innovative Potenzial der Echtzeit-Bildgebungsmodalit\u00e4ten hervorgehoben.<\/jats:p><jats:p>\n          Methoden Das Prinzip der neuen \u201eImaging\u201c-Verfahren und deren klinische Anwendungen werden aufgearbeitet mit Blick auf Anastomoseninsuffizienzen, die die folgenschwersten Komplikationen in der gastrointestinalen Chirurgie nach onkologischen Resektionen darstellen. <\/jats:p><jats:p>\n          Ergebnisse W\u00e4hrend die FA die Gabe eines Fluoreszenzfarbstoffs\n            erfordert, ist HSI v\u00f6llig kontaktfrei und nichtinvasiv. Beide Methoden k\u00f6nnen in\n            \u201eReal-Time\u201c-Applikation physiologische Gewebeeigenschaften, zudem die FA auch dynamische\n            Ph\u00e4nomene, erfassen. Die Verfahren dauern nur wenige Sekunden und st\u00f6ren den operativen\n            Ablauf nicht wesentlich. Sie sind hinsichtlich ihrer Aussagekraft f\u00fcr eine m\u00f6gliche\n            \u00c4nderung der operativen Strategie als komplement\u00e4r zu betrachten. Unsere eigenen\n            Weiterentwicklungen der Modalit\u00e4ten liegen insbesondere im Bereich der\n            Datenvisualisierung sowie der automatischen Datenanalyse unter Einsatz der k\u00fcnstlichen\n            Intelligenz (KI) und der Miniaturisierung der bisherigen Ger\u00e4te f\u00fcr einen zuk\u00fcnftigen\n            Einsatz in der Endoskopie, der minimalinvasiven und der roboterassistierten Chirurgie. <\/jats:p><jats:p>\n          Schlussfolgerung Insgesamt ist die Zahl der Studien im Forschungsfeld der intraoperativen Bildgebung zurzeit noch sehr limitiert. Ob diese neue Art der Pr\u00e4zisionschirurgie im \u201eHightech\u201c-OP mit der Kombination aus HSI, FA und Robotik zu einer verbesserten Patientensicherheit durch Minimierung der postoperativen Morbidit\u00e4t und Mortalit\u00e4t f\u00fchrt, muss in weiterf\u00fchrenden multizentrischen Studien evaluiert werden.<\/jats:p>","DOI":"10.1055\/a-1481-1993","type":"journal-article","created":{"date-parts":[[2021,6,22]],"date-time":"2021-06-22T22:42:27Z","timestamp":1624401747000},"page":"683-690","source":"Crossref","is-referenced-by-count":0,"title":["Neue intraoperative fluoreszenzbasierte und spektroskopische Bildgebungsverfahren in der Viszeralmedizin \u2013 Pr\u00e4zisionschirurgie im \u201eHightech\u201c-OP"],"prefix":"10.1055","volume":"59","author":[{"given":"Ines","family":"Gockel","sequence":"additional","affiliation":[{"name":"Klinik und Poliklinik f\u00fcr Viszeral-, Transplantations-, Thorax- und Gef\u00e4\u00dfchirurgie, Universit\u00e4tsklinikum Leipzig, A\u00f6R, 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