Robot-assisted nerve-sparing radical prostatectomy using near-infrared fluorescence technology and indocyanine green: initial experience

Mangano, M.; Gobbi, Alberto De; Beniamin, Francesco; Lamon, Claudio; Ciaccia, Matteo; Maccatrozzo, L.

doi:10.5301/uj.5000244

Cited by 34 publications

(16 citation statements)

References 9 publications

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“…Moreover, we have shown that intraoperative visualization of peritoneal metastases and adrenal tumors using ICG is feasible and could therefore be used as an additional intraoperative image modality until specific tumor targets are available. Today, no evidence is available for intraoperative visualization of nerves, which is important during colorectal surgery, using ICG due to its non‐specificity . Therefore, diverse other nerve specific contrast agents are currently being investigated …”

Section: Discussion and Future Perspectivesmentioning

confidence: 99%

A practical guide for the use of indocyanine green and methylene blue in fluorescence‐guided abdominal surgery

Manen

Handgraaf

Diana

et al. 2018

Journal of Surgical Oncology

229

178

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Near‐infrared (NIR) fluorescence imaging is gaining clinical acceptance over the last years and has been used for detection of lymph nodes, several tumor types, vital structures and tissue perfusion. This review focuses on NIR fluorescence imaging with indocyanine green and methylene blue for different clinical applications in abdominal surgery with an emphasis on oncology, based on a systematic literature search. Furthermore, practical information on doses, injection times, and intraoperative use are provided.

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Section: Discussion and Future Perspectivesmentioning

confidence: 99%

A practical guide for the use of indocyanine green and methylene blue in fluorescence‐guided abdominal surgery

Manen

Handgraaf

Diana

et al. 2018

Journal of Surgical Oncology

229

178

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“…In robotic-assisted radical prostatectomy (RARP) it can be used for to visualize the arteries of neurovascular bundle or helping identification of regional lymph nodules. It can better-assist in understanding lymphatic drainage improving diagnostic findings ( 7 , 8 ). Furthermore, they described the use of this technology during robotic surgery for different types of adrenal pathologies helping in adrenal-sparing surgery ( 9 ).…”

Section: Commentmentioning

confidence: 99%

Editorial Comment: Best practices in near-infrared fluorescence imaging with indocyanine green (NIRF/ICG)-guided robotic urologic surgery: a systematic review-based expert consensus

Faria

2020

Int. braz j urol.

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In this very nice paper Dr Cacciamani e other experts explained about use of indocyanine green (ICG) to allow visualization of both the vasculature and contours of anatomic structures (1). The use of near-infrared fluorescence (NIRF) technology with ICG has been explored in several surgical specialties (2). It is able to provide an enhanced anatomical view of the surgical field with potentially improved perioperative surgical outcomes (3, 4). They highlight the potential uses of NIRF with ICG for robotic urologic surgery integrating with Firefly® technology in the Da Vinci Surgical platform and systema

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“…18,19 Furthermore, there have been efforts to implement ICG as a means of identifying the benchmark artery during robotic-assisted radical prostatectomy to improve preservation of the neurovascular bundle during nervesparing approaches. 20 ICG has also been considered for intraluminal administration, as it has been suggested that ureteral identification as well as ureteral stricture location may be optimized with intra-ureteral ICG instillation for robotic upper tract reconstructive procedures. 17…”

Section: Other Utilizations Of Icg Within Urologymentioning

confidence: 99%

Intraoperative fluorescence imaging during complex urologic pelvic surgery

Kotamarti¹

2020

UNOAJ

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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.

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Robot-assisted nerve-sparing radical prostatectomy using near-infrared fluorescence technology and indocyanine green: initial experience

Abstract: In our experience, even if on a limited number of patients, the application of ICG with NIR fluorescence during RARP is helpful to identify the benchmark artery of neurovascular bundle.

Cited by 34 publications

References 9 publications

A practical guide for the use of indocyanine green and methylene blue in fluorescence‐guided abdominal surgery

A practical guide for the use of indocyanine green and methylene blue in fluorescence‐guided abdominal surgery

Editorial Comment: Best practices in near-infrared fluorescence imaging with indocyanine green (NIRF/ICG)-guided robotic urologic surgery: a systematic review-based expert consensus

Intraoperative fluorescence imaging during complex urologic pelvic surgery

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