Robotic Radical Partial Nephrectomy: Keep Pushing the Boundaries
نویسنده
چکیده
Modern technologies such as near infrared (NIR) indocyanine green (ICG) fluorescence imaging represent potentially useful tools to facilitate intraoperative assessment of vascularization and tissue perfusion [3]. Recently, the use of a near-infrared fluorescence (NIRF) imaging system using indocyanine green (ICG) dye has been described during robotic partial nephrectomy as an adjunctive means of identifying renal vasculature and tumour clearance. ICG is a water-soluble dye that fluoresces bright green when viewed under near-infrared light (700-1000 nm) [4]. This technology has been applied to robotic partial nephrectomy, to look for the differentiation of renal tumor from normal parenchyma [4]. In this application, it has been hypothesized that normal kidney tissue fluoresces green, while the tumor commonly remains hypofluorescent, thereby aiding tumor excision [4]. Secondly, NIRF imaging with ICG has been employed to facilitate selective arterial clamping during robotic partial nephrectomy, allowing for a regional perfusion deficit in the kidney to be readily identified and therefore targeted at a given tumor [4].
منابع مشابه
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