The role of indocyanine green for robotic partial nephrectomy: Early results, limitations and future directions

Research output: Contribution to journalReview article

Abstract

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.

Original languageEnglish (US)
Pages (from-to)281-288
Number of pages8
JournalRobotics
Volume3
Issue number3
DOIs
StatePublished - Sep 1 2014

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Robotics
Partial
Ischemia
Anatomy
Margin
Tumors
Tumor
Infrared Imaging
Infrared imaging
Dyes
Dose
Visualization
Zero

Keywords

  • Indocyanine green
  • Near infrared fluorescence imaging
  • Robotic partial nephrectomy

ASJC Scopus subject areas

  • Mechanical Engineering
  • Control and Optimization
  • Artificial Intelligence

Cite this

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title = "The role of indocyanine green for robotic partial nephrectomy: Early results, limitations and future directions",
abstract = "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.",
keywords = "Indocyanine green, Near infrared fluorescence imaging, Robotic partial nephrectomy",
author = "Klaassen, {Zachary W A} and Qiang Li and Madi, {Rabii Hussein} and Terris, {Martha Kennedy}",
year = "2014",
month = "9",
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T2 - Early results, limitations and future directions

AU - Klaassen, Zachary W A

AU - Li, Qiang

AU - Madi, Rabii Hussein

AU - Terris, Martha Kennedy

PY - 2014/9/1

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N2 - 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.

AB - 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.

KW - Indocyanine green

KW - Near infrared fluorescence imaging

KW - Robotic partial nephrectomy

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