Exploring the feasibility of indocyanine green fluorescence for intraoperative ureteral visualisation in robotic transvaginal natural orifice transluminal endoscopy surgery during endometriosis resection.
Int J Med Robot
; 20(3): e2636, 2024 Jun.
Article
in En
| MEDLINE
| ID: mdl-38757434
ABSTRACT
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.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Ureter
/
Feasibility Studies
/
Endometriosis
/
Natural Orifice Endoscopic Surgery
/
Robotic Surgical Procedures
/
Indocyanine Green
Limits:
Adult
/
Female
/
Humans
/
Middle aged
Language:
En
Journal:
Int J Med Robot
Year:
2024
Document type:
Article
Affiliation country:
United States