Robotic Natural Orifice Specimen Extraction with Totally Intracorporeal Anastomosis Associated with Firefly Fluorescence: Bowel Resection for Deep Infiltrating Endometriosis

Morrell, André Luiz Gioia; Santos, Thiago Pareja dos; Morrell, Alexander Charles; Chamié, Luciana Pardini; Frare, Nathalia; Serafini, P.; Ribeiro, Duarte

doi:10.1089/gyn.2019.0139

Cited by 5 publications

(4 citation statements)

References 29 publications

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“…Current clinical practice has a broad spectrum of use and its real benefits are put in perspective more recently. In general surgery, different manners of use are reported as tissue perfusion assessment, anatomic identification and lymphography from upper GI tract to colorectal procedures (5,6,9,10) . Information like the correct dosage and dilution, the way of application whether fractionated or in bolus, and the exact time of use due to its degradation and kinetics are not evident in most of the available studies.…”

Section: Discussionmentioning

confidence: 99%

“…The need for better visualization led to a rise in literature the use of contrast agents, such as ICG fluorescence imaging. Only few studies have reported evident improvement in detecting the endometrial tissue, although the ICG applications for a safe deep infiltrating endometriosis surgery and bowel resection is widely known (6) . Limited data is available to support the ICG fluorescence guided image to assure correct visualization of endometriosis in the peritoneal cavity.…”

Section: Endometriosismentioning

confidence: 99%

“…Indocyanine green fluorescence imaging in robotic surgery: state of art, tips and tricks in current applications in general, gynecology, urology, colorectal surgery and surgical oncology practice (5)(6)(7) .…”

Section: Introductionmentioning

confidence: 99%

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Indocyanine Green Fluorescence Imaging in Robotic Surgery: State of Art, Tips and Tricks in Current Applications

Morrell

Morrell-Junior

et al. 2021

Arq. Gastroenterol.

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BACKGROUND: Fluorescent imaging with indocyanine green is an emerging technology whose benefits are put in perspective. OBJECTIVE: This article reports essential principles and approaches of intraoperative fluorescence in general surgery bringing familiarity to its practical usage. Our group describes possible pitfalls and provides tips and tricks for training surgeons making their attempts easier and reproducible during practice. METHODS: This study overviews the most structured concepts, practical applications and its tricks in robotic fluorescence guided imaging surgery with indocyanine green. Possible pitfalls are emphasized and emerging fields of application are put in a perspective. RESULTS: Guided information and practical applications in several surgical fields are described for a safe and reproducible indocyanine green fluorescence imaging use. CONCLUSION: Robotic assisted surgery combined to fluorescence imaging technology represents a logical evolution in image guided surgery and technology familiarity with guided information may represent a wider and safer spectrum of use in surgeons’ hands.

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Section: Discussionmentioning

confidence: 99%

Section: Endometriosismentioning

confidence: 99%

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Indocyanine Green Fluorescence Imaging in Robotic Surgery: State of Art, Tips and Tricks in Current Applications

Morrell

Morrell-Junior

et al. 2021

Arq. Gastroenterol.

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“…The gynecological field has also seen benefits from robotic assisted surgery, which appears to facilitate the surgical approach for technically challenging operations to treat selected cases of cervical, endometrial, ovarian cancer or endometriosis 18,19 . Currently, most issues confronting robotic assisted procedures are especially related to its costs and longer operative time.…”

Section: Resultsmentioning

confidence: 99%

The history of robotic surgery and its evolution: when illusion becomes reality

Morrell¹,

Morrell-Junior²,

Morrell³

et al. 2021

Rev. Col. Bras. Cir.

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The term “robot” was concepted in the beginning of last century, coming originally from the Czech word “robota”, meaning “labor”. More recently, computer assistance and robotics based in the telepresence and virtual reality concept have been applied to surgical procedures. The application of robots in surgery dates approximately 35 years, experiencing significant growth in the last two decades fueled by the advent of advanced technologies. Despite its recent and brief status in surgery history, robotic technology has already proven its enhanced visualization, superior dexterity and precision during minimally invasive procedures. Currently, the worldwide diffused and predominant robot system used in surgery is Da Vinci by Intuitive Surgical, however robotic surgery evolution is far from over, with multiple potential competitors on the horizon pushing forward its paradigms. We aim to describe the history and evolution of robotic surgery in the last years as well as present its future perspectives.

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Natural Orifice Specimen Extraction Colorectal Resection for Deep Endometriosis: A 50 Case Series

Grigoriadis¹,

Dennis²,

Merlot³

et al. 2022

Journal of Minimally Invasive Gynecology

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Robotic Natural Orifice Specimen Extraction with Totally Intracorporeal Anastomosis Associated with Firefly Fluorescence: Bowel Resection for Deep Infiltrating Endometriosis

Cited by 5 publications

References 29 publications

Indocyanine Green Fluorescence Imaging in Robotic Surgery: State of Art, Tips and Tricks in Current Applications

Indocyanine Green Fluorescence Imaging in Robotic Surgery: State of Art, Tips and Tricks in Current Applications

The history of robotic surgery and its evolution: when illusion becomes reality

Natural Orifice Specimen Extraction Colorectal Resection for Deep Endometriosis: A 50 Case Series

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