The Role of Indocyanine Green for Robotic Partial Nephrectomy: Early Results, Limitations and Future Directions

The surgical management of small renal masses has continued to evolve, particularly with the advent of the robotic partial nephrectomy (RPN). Recent studies at high volume institutions utilizing near infrared imaging with indocyanine green (ICG) fluorescent dye to delineate renal tumor anatomy has g...

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Main Authors: Zachary Klaassen, Qiang Li, Rabii Madi, Martha K. Terris
Format: Article
Language:English
Published: MDPI AG 2014-07-01
Series:Robotics
Subjects:
Online Access:http://www.mdpi.com/2218-6581/3/3/281
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spelling doaj-3c320c42e96f458aad399787bc949ee22020-11-24T23:31:43ZengMDPI AGRobotics2218-65812014-07-013328128810.3390/robotics3030281robotics3030281The Role of Indocyanine Green for Robotic Partial Nephrectomy: Early Results, Limitations and Future DirectionsZachary Klaassen0Qiang Li1Rabii Madi2Martha K. Terris3Department of Surgery, Section of Urology, Medical College of Georgia, Georgia Regents University, Augusta, GA 30912, USADepartment of Surgery, Section of Urology, Medical College of Georgia, Georgia Regents University, Augusta, GA 30912, USADepartment of Surgery, Section of Urology, Medical College of Georgia, Georgia Regents University, Augusta, GA 30912, USADepartment of Surgery, Section of Urology, Medical College of Georgia, Georgia Regents University, Augusta, GA 30912, USAThe surgical management of small renal masses has continued to evolve, particularly with the advent of the robotic partial nephrectomy (RPN). Recent studies at high volume institutions utilizing near infrared imaging with indocyanine green (ICG) fluorescent dye to delineate renal tumor anatomy has generated interest among robotic surgeons for improving warm ischemia times and positive margin rate for RPN. To date, early studies suggest positive margin rate using ICG is comparable to traditional RPN, however this technology improves visualization of the renal vasculature allowing selective clamping or zero ischemia. The precise combination of fluorescent compound, dose, and optimal tumor anatomy for ICG RPN has yet to be elucidated.http://www.mdpi.com/2218-6581/3/3/281robotic partial nephrectomyindocyanine greennear infrared fluorescence imaging
collection DOAJ
language English
format Article
sources DOAJ
author Zachary Klaassen
Qiang Li
Rabii Madi
Martha K. Terris
spellingShingle Zachary Klaassen
Qiang Li
Rabii Madi
Martha K. Terris
The Role of Indocyanine Green for Robotic Partial Nephrectomy: Early Results, Limitations and Future Directions
Robotics
robotic partial nephrectomy
indocyanine green
near infrared fluorescence imaging
author_facet Zachary Klaassen
Qiang Li
Rabii Madi
Martha K. Terris
author_sort Zachary Klaassen
title The Role of Indocyanine Green for Robotic Partial Nephrectomy: Early Results, Limitations and Future Directions
title_short The Role of Indocyanine Green for Robotic Partial Nephrectomy: Early Results, Limitations and Future Directions
title_full The Role of Indocyanine Green for Robotic Partial Nephrectomy: Early Results, Limitations and Future Directions
title_fullStr The Role of Indocyanine Green for Robotic Partial Nephrectomy: Early Results, Limitations and Future Directions
title_full_unstemmed The Role of Indocyanine Green for Robotic Partial Nephrectomy: Early Results, Limitations and Future Directions
title_sort role of indocyanine green for robotic partial nephrectomy: early results, limitations and future directions
publisher MDPI AG
series Robotics
issn 2218-6581
publishDate 2014-07-01
description The surgical management of small renal masses has continued to evolve, particularly with the advent of the robotic partial nephrectomy (RPN). Recent studies at high volume institutions utilizing near infrared imaging with indocyanine green (ICG) fluorescent dye to delineate renal tumor anatomy has generated interest among robotic surgeons for improving warm ischemia times and positive margin rate for RPN. To date, early studies suggest positive margin rate using ICG is comparable to traditional RPN, however this technology improves visualization of the renal vasculature allowing selective clamping or zero ischemia. The precise combination of fluorescent compound, dose, and optimal tumor anatomy for ICG RPN has yet to be elucidated.
topic robotic partial nephrectomy
indocyanine green
near infrared fluorescence imaging
url http://www.mdpi.com/2218-6581/3/3/281
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