Intraoperative fluorescence imaging during complex urologic pelvic surgery

Abstract

Extirpative therapy remains an important treatment for the management of invasive pelvic cancers. Radical cystectomy or anterior pelvic exenteration with urinary diversion has the potential for postoperative morbidity and mortality. Several critical components of these procedures such as delicate anastomoses can be affected by potential complications related to ischemia and are subject to the limitations of visualization with only white light in the operating room. Indocyanine green (ICG) is a fluorescent dye that has several applications in Urology. We examine the implementation of ICG within pelvic extirpative therapies as well as review the many uses of ICG within Urologic procedures.