You have accessJournal of UrologyAdrenal and Reconstruction Teaching Techniques1 Apr 2013V907 A NOVEL USE OF ICG-NIRF DURING ROBOTIC ASSISTED PARTIAL ADRENALECTOMY Manish Patel, Theodore Manny, and Ashok Hemal Manish PatelManish Patel Winston Salem, NC More articles by this author , Theodore MannyTheodore Manny Winston Salem, NC More articles by this author , and Ashok HemalAshok Hemal Winston Salem, NC More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2013.02.482AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Indocyanine green (ICG) has been previously described in the urologic literature using an intravenous technique during robotic partial nephrectomy. During parital nephrectomy, the dye is administered allowing visualization of the vascular anatomy of the renal hilum, as well as allowing visualization of the tumor margins due to differential fluorescence of the mass relative to the normal parenchyma. We hypothesized that the same rational could be applied to the management of adrenal lesions. We describe our technique of intravascular injection of ICG in a patient with an adrenal pheochromocytoma to help delineate adrenal vascular anatomy and further visualize the tumor-normal adrenal margin. METHODS We utilize intravascular injection of 2ml of ICG dye with a concentration of 2.5mg/ml to help us assess the the visualization of the adrenal tumor and its differential fluorescence to assist us in performing partial adrenalectomy. RESULTS Administration of the dye allowed successful distinction of the adrenal tumor from surrounding structures. The tumor was hypo fluorescent relative to the liver and normal adrenal gland. This allowed us to successfully perform partial adrenalectomy with negative tumor margins. CONCLUSIONS In conclusion, we demonstrate our technique of robotic assisted adrenalectomy with utilization of intravascualar indocyanine green for identification of tumor margins to aid in excision of difficult masses. © 2013 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 189Issue 4SApril 2013Page: e374 Advertisement Copyright & Permissions© 2013 by American Urological Association Education and Research, Inc.MetricsAuthor Information Manish Patel Winston Salem, NC More articles by this author Theodore Manny Winston Salem, NC More articles by this author Ashok Hemal Winston Salem, NC More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...