What is it about?
Indocyanine green (ICG) is a fluorescent molecule that provokes detectable photon emission . The use of ICG with near infrared (NIR) imaging system (Akorn, Lake Forest, IL) has been described during robotic partial nephrectomy (RAPN) as an adjunctive means of identifying renal artery and parenchymal perfusion. We propose the use of the ICG with NIR fluorescence during laparoscopic robot assisted radical prostatectomy (RARP), to identify the benchmark artery improving the preservation of neurovascular bundle and to improve the visualization of the vascularization and then the hemostasis.
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Why is it important?
We used to inject ICG during the procedure. We evaluated the percentage of identification of neurovascular bundles using NIR fluorescence. Than we evaluated complications related to injection of ICG . We identified prostatic arteries and neurovascular bundles using NIR fluorescence technology in all patients (100%). Complications related to injection of ICG did not occurred.
Perspectives
The application of ICG with NIR fluorescence during RARP is helpful to identify the benchmark artery of neurovascular bundle.
alberto de gobbi
U.O.C Urologia, Ospedale Treviso, Ulss 2 marca trevigiana
Read the Original
This page is a summary of: Robot-assisted nerve-sparing radical prostatectomy using near-infrared fluorescence technology and indocyanine green: initial experience, Urologia Journal, May 2017, SAGE Publications,
DOI: 10.5301/uj.5000244.
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