Ma Lifei,Zhou Huixia,Zhou Xiaoguang,et al.Applications of indocyanine green and near-infrared fluorescence during complex robot-assisted laparoscopic pyeloplasty[J].Journal of Clinical Pediatric Surgery,,20():921-924.[doi:10.12260/lcxewkzz.2021.10.005]
Applications of indocyanine green and near-infrared fluorescence during complex robot-assisted laparoscopic pyeloplasty
- Keywords:
- Fluorescent Dyes; Indocyanine Green; Robotics; Laparoscopy; Hydronephrosis; Diagnostic Imaging
- CLC:
- R917.76;R692.2;R726.1;R445.9
- Abstract:
- Objective To explore the feasibility and effect of indocyanine green (ICG) and near-infrared fluorescence (NIRF) technology during robot-assisted laparoscopic pyeloplasty.Methods Thirty-six children of severe hydronephrosis or failed primary pyeloplasty were recruited between October 2017 and August 2019.There were 29 boys and 7 girls with a median age of 58(3-126) months.Eight cases were operated for primary ureteropelvic junction obstruction (UPJO) while another 28 children underwent secondary pyeloplasty.Pelvic flap, appendix, ileum and oral mucosa were employed as substitutive materials for ureteral reconstruction.The relevant clinical data were analyzed.Results All operations were successful.Operative duration was 65-150 min and volume of blood loss 10-50 mL.There was no intraoperative complication or conversion into open surgery.After an injection of ICG, 35 children had a sufficient perfusion and one case of appendix replacement a bad perfusion.Ileoureteral substitution was performed instead.Conclusion The injection of ICG and subsequent NIRF is feasible, safe and effective during robot-assisted laparoscopic pyeloplasty.
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Memo
收稿日期:2020-03-25。
基金项目:北京市科技计划（编号：Z181100001718008）；军队计生专项（编号：18JS001）
通讯作者:周辉霞,Email:huixia99999@163.com