V06-07 ROBOTIC RADICAL CYSTECTOMY IN RENAL TRANSPLANT PATIENTS: THE INDOCYANINE GREEN (ICG) TECHNIQUE

Abstract

You have accessJournal of UrologyCME1 Apr 2023V06-07 ROBOTIC RADICAL CYSTECTOMY IN RENAL TRANSPLANT PATIENTS: THE INDOCYANINE GREEN (ICG) TECHNIQUE Chi Hang Yee, Timothy Chang Kidd Ng, Steffi Kar Kei Yuen, Mandy Ho Man Tam, Jeremy Yuen Chun Teoh, Peter Ka Fung Chiu, Chi Kwok Chan, and Chi Fai Ng Chi Hang YeeChi Hang Yee More articles by this author , Timothy Chang Kidd NgTimothy Chang Kidd Ng More articles by this author , Steffi Kar Kei YuenSteffi Kar Kei Yuen More articles by this author , Mandy Ho Man TamMandy Ho Man Tam More articles by this author , Jeremy Yuen Chun TeohJeremy Yuen Chun Teoh More articles by this author , Peter Ka Fung ChiuPeter Ka Fung Chiu More articles by this author , Chi Kwok ChanChi Kwok Chan More articles by this author , and Chi Fai NgChi Fai Ng More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000003274.07AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: The risk of developing bladder cancer in transplant populations is higher compared with the general population. The presence of a graft kidney can be an additional challenge to surgeons when radical cystectomy is contemplated for this group of patients. The study is to review the outcome of robotic radical cystectomy in patients with a graft kidney in-situ by the use of the indocyanine green (ICG) technique. METHODS: Consecutive cases of robotic radical cystectomy in patients with history of renal transplant were reviewed. Pre-operative graft ureter catherterization was performed and robotic radical cystectomy was executed with the aide of ICG to identify the graft ureter in order to preserve its maximal length. Peri-operative and oncological outcome were assessed. RESULTS: Between 2019 to 2022, 3 renal transplant recipients underwent robotic radical cystectomy and intra-corporeal ileal conduit reconstruction, with the indication of pathologically confirmed muscle-invasive disease. One of the patients had robotic bilateral nephroureterectomy performed in the same setting. Mean patient age was 68.0±8.5 years, mean interval between renal transplant and the index cystectomy surgery was 20.0±2.6 years. All patients’ graft were located at the right lower quadrant. Operation time for the patient with additional bilateral nephroureterectomy was 543 minutes. For the other 2 patients, the operation time were 300 minutes and 227 minutes. Mean hospital stay was 7.7±1.2 days. No post-operative complication was observed 3 months after the operation. In all cases, the graft ureter could be identified with the ICG technique. CONCLUSIONS: Robotic radical cystectomy in the setting of renal transplant recipient is a safe alternative to its open surgery counterpart. The ICG technique provides an effective option to identify the graft ureter during dissection in order to gain the maximal length for subsequent reconstruction. Source of Funding: None © 2023 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 209Issue Supplement 4April 2023Page: e510 Advertisement Copyright & Permissions© 2023 by American Urological Association Education and Research, Inc.MetricsAuthor Information Chi Hang Yee More articles by this author Timothy Chang Kidd Ng More articles by this author Steffi Kar Kei Yuen More articles by this author Mandy Ho Man Tam More articles by this author Jeremy Yuen Chun Teoh More articles by this author Peter Ka Fung Chiu More articles by this author Chi Kwok Chan More articles by this author Chi Fai Ng More articles by this author Expand All Advertisement PDF downloadLoading ...