V12-06 UTILIZATION OF INDOCYANINE GREEN FLUORESCENCE ANGIOGRAPHY DURING INTRACORPOREAL URETERO-ILEAL ANASTOMOSIS FOLLOWING ROBOTIC RADICAL CYSTECTOMY

Abstract

You have accessJournal of UrologyBladder Oncology and Diversion1 Apr 2017V12-06 UTILIZATION OF INDOCYANINE GREEN FLUORESCENCE ANGIOGRAPHY DURING INTRACORPOREAL URETERO-ILEAL ANASTOMOSIS FOLLOWING ROBOTIC RADICAL CYSTECTOMY Daniel Melecchi Freitas, Carlos Fay, Nariman Ahmadi, Andre Abreu, Toshitaka Shin, Inderbir Gill, Andre Berger, Mihir Desai, and Monish Aron Daniel Melecchi FreitasDaniel Melecchi Freitas More articles by this author , Carlos FayCarlos Fay More articles by this author , Nariman AhmadiNariman Ahmadi More articles by this author , Andre AbreuAndre Abreu More articles by this author , Toshitaka ShinToshitaka Shin More articles by this author , Inderbir GillInderbir Gill More articles by this author , Andre BergerAndre Berger More articles by this author , Mihir DesaiMihir Desai More articles by this author , and Monish AronMonish Aron More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2017.02.3212AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Indocyanine-green (ICG) is an exogenous tracer approved by he FDA and is currently used in several urological procedures such as partial nephrectomies to reveal vascular anatomy and tissue perfusion. METHODS In this video we report our initial experience and proof-of-concept in 10 patients who underwent robotic-assisted radical cystectomy with intracorporeal diversion where ICG was utilized prior to perform uretero-ileal anastomosis to assess ureteric vascularity. RESULTS In our cohort of 10 patients, 7 patients required resection of distal ureter in at least one ureter. Three patients required bilateral distal ureteral resection, three patients required left and one patient required right distal ureter resection. The median resected ureteral lenght was 2cm. The median operation time 510 minutes. Complications were found in 3 patients, fever in two and ileus in one (Clavien II). The median length of stay was 5.5 days and the median follow-up was 81 days. CONCLUSIONS Intravenous injection of ICG before ureteroileal anastomosis is useful to evaluate distal ureteral vascularity. It helps to identify and excise the non-vascularized ureteral segment. Long term follow-up will be necessary to evaluate the benefits of ICG-use to prevent ureteroileal strictures. © 2017FiguresReferencesRelatedDetails Volume 197Issue 4SApril 2017Page: e1373 Advertisement Copyright & Permissions© 2017MetricsAuthor Information Daniel Melecchi Freitas More articles by this author Carlos Fay More articles by this author Nariman Ahmadi More articles by this author Andre Abreu More articles by this author Toshitaka Shin More articles by this author Inderbir Gill More articles by this author Andre Berger More articles by this author Mihir Desai More articles by this author Monish Aron More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...