Exploring the feasibility of indocyanine green fluorescence for intraoperative ureteral visualisation in robotic transvaginal natural orifice transluminal endoscopy surgery during endometriosis resection.

Autor: Delgadillo Chabolla LE; Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston, Texas, USA., Alpuing Radilla LA; Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston, Texas, USA.; Division of Minimally Invasive Gynecological Surgery, Baylor College of Medicine, Houston, Texas, USA., Koythong T; Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston, Texas, USA.; Division of Minimally Invasive Gynecological Surgery, Baylor College of Medicine, Houston, Texas, USA., Sunkara S; Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston, Texas, USA.; Division of Minimally Invasive Gynecological Surgery, Baylor College of Medicine, Houston, Texas, USA., Mendez Y; Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston, Texas, USA., Wang Q; Department of Minimally Invasive Gynecological Surgery, Xinxiang Central Hospital, Henan, China., Guan X; Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston, Texas, USA.; Division of Minimally Invasive Gynecological Surgery, Baylor College of Medicine, Houston, Texas, USA.
Jazyk: angličtina
Zdroj: The international journal of medical robotics + computer assisted surgery : MRCAS [Int J Med Robot] 2024 Jun; Vol. 20 (3), pp. e2636.
DOI: 10.1002/rcs.2636
Abstrakt: Background: To assess the feasibility of use of indocyanine green (ICG) in identifying and minimising urinary tract injury during surgical resection of endometriosis through robotic transvaginal natural orifice transluminal endoscopy surgery (RvNOTES).
Methods: We conducted a retrospective case series in two academic tertiary care hospitals. We examined 53 patients who underwent RvNOTES hysterectomy with planned endometriosis resection.
Results: The study involved 53 patients undergoing RvNOTES with ICG fluorescence for endometriosis resection. Mean patient age was 37.98 ± 6.65 years. Operative time averaged 181.32 ± 53.94 min, with estimated blood loss at 45.57 ± 33.62 mL. Postoperative stay averaged 0.23 ± 0.47 days. No ICG-related complications occurred.
Conclusion: No complications occurred with ICG fluorescence in RvNOTES. It appears to be a safe option for ureteral localisation and preservation. ICG fluorescence is widely used in diverse medical specialities for identifying ureters during complex surgeries. Larger studies are needed to firmly establish its advantages in intraoperative ureteral visualisation during RvNOTES for deep infiltrative endometriosis.
(© 2024 John Wiley & Sons Ltd.)
Databáze: MEDLINE
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