Use of near infrared fluorescence during robot-assisted laparoscopic partial nephrectomy
| Autor: | M. Nazmy, C. Pacheco-Gahbler, M.A. Palmeros-Rodríguez, V. Cornejo-Dávila, J.G. Morales-Montor, N. Kella |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Laparoscopic surgery
medicine.medical_specialty Near-Infrared Fluorescence Imaging Warm Ischemia Time business.industry medicine.medical_treatment Tumor resection 030232 urology & nephrology General Medicine Near infrared fluorescence medicine.disease Nephrectomy Intraoperative ultrasound Surgery 03 medical and health sciences 0302 clinical medicine Renal cell carcinoma 030220 oncology & carcinogenesis Medicine business |
| Zdroj: | Actas Urológicas Españolas (English Edition). 40:190-194 |
| ISSN: | 2173-5786 |
| Popis: | Background Partial nephrectomy is the treatment of choice for T1a tumors. The open approach is still the standard method. Robot-assisted laparoscopic surgery offers advantages that are applicable to partial nephrectomy, such as the use of the Firefly® system with near-infrared fluorescence. Objective To demonstrate the implementation of fluorescence in nephron-sparing surgery. Case report This case concerned a 37-year-old female smoker, with obesity. The patient had a right kidney tumor measuring 31 mm, which was found using tomography. She therefore underwent robot-assisted laparoscopic partial nephrectomy, with a warm ischemia time of 22 min and the use of fluorescence with the Firefly® system to guide the resection. There were no complications. The tumor was a pT1aN0M0 renal cell carcinoma, with negative margins. Robot-assisted renal laparoscopic surgery is employed for nephron-sparing surgery, with good oncological and functional results. The combination of the Firefly® technology and intraoperative ultrasound can more accurately delimit the extent of the lesion, increase the negative margins and decrease the ischemia time. Conclusion Near-infrared fluorescence in robot-assisted partial nephrectomy is useful for guiding the tumor resection and can potentially improve the oncological and functional results. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect