Indocyanine green (ICG) assessment of ureteral perfusion during pediatric robotic surgery
Background: Vascular preservation is a tenet of successful ureteral reconstruction. Near-infrared fluorescence (NIRF) imaging with indocyanine green (ICG) provides real-time identification of tissue perfusion during robotic surgery. Here, we present our utilization of NIRF with ICG to ensure adequat...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2021-11-01
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| Series: | Journal of Pediatric Surgery Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2213576621002797 |
| _version_ | 1818442494578262016 |
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| author | Katelyn N. Carty Alexander Hwang Ashley Gordon Rachel Locke Romano T. DeMarco Christopher E. Bayne |
| author_facet | Katelyn N. Carty Alexander Hwang Ashley Gordon Rachel Locke Romano T. DeMarco Christopher E. Bayne |
| author_sort | Katelyn N. Carty |
| collection | DOAJ |
| description | Background: Vascular preservation is a tenet of successful ureteral reconstruction. Near-infrared fluorescence (NIRF) imaging with indocyanine green (ICG) provides real-time identification of tissue perfusion during robotic surgery. Here, we present our utilization of NIRF with ICG to ensure adequate ureteral perfusion during robotic reconstruction in 3 pediatric patients. Case presentation: Between July 2019 and May 2020, we utilized NIRF with ICG during 3 consecutive robotic ureteral reconstructive cases in an academic pediatric urology practice. Patients were 3-, 14-, and 17-years-old and presented with congenital ureteral stricture, mid-ureteral polyp disease, and distal-ureteral polyp disease, respectively. Following surgical reconstruction of each patient's underlying pathology, ICG doses of 0.039–0.086 mg/kg IV were used to elucidate blood supply to the affected segment of ureter prior to closing. In all 3 cases, NIRF with da Vinci Xi endoscope's Firefly® technology confirmed perfusion proximal and distal to target anatomy within 60 seconds of administration. Conclusion: Use of ICG appears to be low-cost, safe, and useful during pediatric urologic robotic surgery. This technology may be helpful to confirm satisfactory blood supply to the ureter following robotic ureteral reconstruction, as demonstrated in our case series of 3 pediatric patients. |
| first_indexed | 2024-12-14T18:45:02Z |
| format | Article |
| id | doaj.art-af9b75482a2541d9997b93aa3ea48221 |
| institution | Directory Open Access Journal |
| issn | 2213-5766 |
| language | English |
| last_indexed | 2024-12-14T18:45:02Z |
| publishDate | 2021-11-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Pediatric Surgery Case Reports |
| spelling | doaj.art-af9b75482a2541d9997b93aa3ea482212022-12-21T22:51:24ZengElsevierJournal of Pediatric Surgery Case Reports2213-57662021-11-0174102058Indocyanine green (ICG) assessment of ureteral perfusion during pediatric robotic surgeryKatelyn N. Carty0Alexander Hwang1Ashley Gordon2Rachel Locke3Romano T. DeMarco4Christopher E. Bayne5Department of Urology, University of Florida College of Medicine, Gainesville, FL, USA; Corresponding author.Department of Urology, University of Tennessee Health Science Center, Chattanooga, TN, USADepartment of Urology, University of Miami Miller School of Medicine, Miami, FL, USADepartment of Urology, Carolinas Medical Center Atrium Health, Charlotte, NC, USADepartment of Urology, University of Florida College of Medicine, Gainesville, FL, USADepartment of Urology, University of Florida College of Medicine, Gainesville, FL, USABackground: Vascular preservation is a tenet of successful ureteral reconstruction. Near-infrared fluorescence (NIRF) imaging with indocyanine green (ICG) provides real-time identification of tissue perfusion during robotic surgery. Here, we present our utilization of NIRF with ICG to ensure adequate ureteral perfusion during robotic reconstruction in 3 pediatric patients. Case presentation: Between July 2019 and May 2020, we utilized NIRF with ICG during 3 consecutive robotic ureteral reconstructive cases in an academic pediatric urology practice. Patients were 3-, 14-, and 17-years-old and presented with congenital ureteral stricture, mid-ureteral polyp disease, and distal-ureteral polyp disease, respectively. Following surgical reconstruction of each patient's underlying pathology, ICG doses of 0.039–0.086 mg/kg IV were used to elucidate blood supply to the affected segment of ureter prior to closing. In all 3 cases, NIRF with da Vinci Xi endoscope's Firefly® technology confirmed perfusion proximal and distal to target anatomy within 60 seconds of administration. Conclusion: Use of ICG appears to be low-cost, safe, and useful during pediatric urologic robotic surgery. This technology may be helpful to confirm satisfactory blood supply to the ureter following robotic ureteral reconstruction, as demonstrated in our case series of 3 pediatric patients.http://www.sciencedirect.com/science/article/pii/S2213576621002797Pediatric urologyNear-infrared technologyFluorescence imagingIndocyanine greenUreteroureterostomy |
| spellingShingle | Katelyn N. Carty Alexander Hwang Ashley Gordon Rachel Locke Romano T. DeMarco Christopher E. Bayne Indocyanine green (ICG) assessment of ureteral perfusion during pediatric robotic surgery Journal of Pediatric Surgery Case Reports Pediatric urology Near-infrared technology Fluorescence imaging Indocyanine green Ureteroureterostomy |
| title | Indocyanine green (ICG) assessment of ureteral perfusion during pediatric robotic surgery |
| title_full | Indocyanine green (ICG) assessment of ureteral perfusion during pediatric robotic surgery |
| title_fullStr | Indocyanine green (ICG) assessment of ureteral perfusion during pediatric robotic surgery |
| title_full_unstemmed | Indocyanine green (ICG) assessment of ureteral perfusion during pediatric robotic surgery |
| title_short | Indocyanine green (ICG) assessment of ureteral perfusion during pediatric robotic surgery |
| title_sort | indocyanine green icg assessment of ureteral perfusion during pediatric robotic surgery |
| topic | Pediatric urology Near-infrared technology Fluorescence imaging Indocyanine green Ureteroureterostomy |
| url | http://www.sciencedirect.com/science/article/pii/S2213576621002797 |
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