Feasibility of injected indocyanine green for ureteral identification during robotic left-sided colorectal resections
| Autor: | Jennifer A. Kaplan, Ravi Moonka, John M. Corman, Vlad V. Simianu, Ron Ron Cheng, Celine R. Soriano |
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| Rok vydání: | 2021 |
| Předmět: |
Indocyanine Green
Male medicine.medical_specialty genetic structures Urinary Catheters urologic and male genital diseases Left sided Diverticulitis Colonic chemistry.chemical_compound Robotic Surgical Procedures Indwelling catheter medicine Humans Intraoperative Complications Colectomy Aged Intraoperative Care urogenital system business.industry General Medicine Cystoscopy Diverticulitis Middle Aged medicine.disease female genital diseases and pregnancy complications Colorectal surgery Surgery surgical procedures operative chemistry Median time Feasibility Studies Female Laparoscopy Ureter business Catheter placement Colorectal Neoplasms Indocyanine green Urethral catheter |
| Zdroj: | American journal of surgery. 223(1) |
| ISSN: | 1879-1883 |
| Popis: | Ureteral identification is essential to performing safe colorectal surgery. Injected immunofluorescence may aid with ureteral identification, but feasibility without ureteral catheterization is not well described.Case series of robotic colorectal resections where indocyanine green (ICG) injection with or without ureteral catheter placement was performed. Imaging protocol, time to ureteral identification, and factors impacting visualization are reported.From 2019 to 2020, 83 patients underwent ureteral ICG injection, 20 with catheterization and 63 with injection only. Main indications were diverticulitis (52%) and cancer (36%). Median time to instill ICG was faster with injection alone than with catheter placement (4min vs 13.5min, p 0.001). Median time [IQR] to right ureter (0.3 [0.01-1.2] min after robot docking) and left ureter (5.5 [3.1-8.8] min after beginning dissection) visualization was not different between injection alone and catheterization.ICG injection alone is faster than with indwelling catheter placement and equally reliable at intraoperative ureteral identification. |
| Databáze: | OpenAIRE |
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