V08-02 PEDIATRIC ROBOT-ASSISTED HEMINEPHRECTOMY UTILIZING INDOCYANINE GREEN

Abstract

You have accessJournal of UrologyCME1 May 2022V08-02 PEDIATRIC ROBOT-ASSISTED HEMINEPHRECTOMY UTILIZING INDOCYANINE GREEN Akhil Saji, Ashley Dixon, Miriam Harel, and Richard Schlussel Akhil SajiAkhil Saji More articles by this author , Ashley DixonAshley Dixon More articles by this author , Miriam HarelMiriam Harel More articles by this author , and Richard SchlusselRichard Schlussel More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000002606.02AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: We report the use of indocyanine green (ICG) in a pediatric patient undergoing heminephrectomy of a duplicated collecting system. This technique may offer several advantages in that it is safe and reliable way to delineate anatomy and collecting system integrity. This may be extrapolated for other complex anatomical surgical cases. METHODS: A 16-year-old girl presented with complaints of constant urinary leakage. She underwent renal bladder ultrasound, magnetic resonance imaging, and cystogram which showed a duplicated collecting system and ectopic ureter. RESULTS: We performed a four-arm multiport robotic upper pole heminephrectomy. The surgical procedure was carried out as previously described in the literature. Twenty milliliters of diluted ICG was injected through a 5Fr open-ended catheter placed in the functioning lower pole segment of the kidney. During excision of the non-functioning upper pole, the ICG helped to illuminate the surgical margins and ensure that healthy renal parenchyma was spared and that there was no urinary leakage following upper pole excision and lower pole renorrhaphy. CONCLUSIONS: To our knowledge we report the first time use of indocyanine green (ICG) in a pediatric patient undergoing heminephrectomy of a duplicated collecting system. Instillation of ICG for complicated anatomical surgical procedures is safe to use and can be efficacious in renal sparing procedures. Source of Funding: None © 2022 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 207Issue Supplement 5May 2022Page: e714 Advertisement Copyright & Permissions© 2022 by American Urological Association Education and Research, Inc.MetricsAuthor Information Akhil Saji More articles by this author Ashley Dixon More articles by this author Miriam Harel More articles by this author Richard Schlussel More articles by this author Expand All Advertisement PDF DownloadLoading ...