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04.07.2019 | Original Article

Clinical application and technical standardization of indocyanine green (ICG) fluorescence imaging in pediatric minimally invasive surgery

verfasst von: Ciro Esposito, Fulvia Del Conte, Mariapina Cerulo, Francesca Gargiulo, Serena Izzo, Giovanni Esposito, Maria Immacolata Spagnuolo, Maria Escolino

Erschienen in: Pediatric Surgery International | Ausgabe 10/2019

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Abstract

Purpose

We reported our preliminary experience using ICG fluorescence in pediatric minimally invasive surgery (MIS) with the aim to standardize indications, dose, timing, and modality of administration of ICG according to different organs.

Methods

ICG technology was adopted in 46 MIS procedures performed in our unit over the last 18 months: 30 left varicocele repairs; 5 cholecystectomies in obese adolescents; 3 tumor excisions; 3 nephrectomies; 2 partial nephrectomies; 3 lymphoma excisions. ICG solution was injected intravenously in all cases except for varicocelectomy in which it was injected into the testis. The ICG injection was performed intra-operatively in all cases except for cholecystectomy in which it was injected 18 h prior to the procedure.

Results

All procedures were completed laparoscopically without conversions or intra-operative complications. No adverse or allergic reactions to ICG were reported.

Conclusion

Our preliminary experience showed that ICG fluorescence is a safe, useful, and versatile technique to adopt in pediatric MIS to achieve a better identification of anatomy and an easier surgical dissection or resection in challenging cases. Currently, the main indications are varicocelectomy, difficult cholecystectomy, tumor excision, nephrectomy, and partial nephrectomy. The main limitation is the needing of a special equipment to use ICG technology.

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Titel: Clinical application and technical standardization of indocyanine green (ICG) fluorescence imaging in pediatric minimally invasive surgery
verfasst von: Ciro Esposito
Fulvia Del Conte
Mariapina Cerulo
Francesca Gargiulo
Serena Izzo
Giovanni Esposito
Maria Immacolata Spagnuolo
Maria Escolino
Publikationsdatum: 04.07.2019
Verlag: Springer Berlin Heidelberg
Erschienen in: Pediatric Surgery International / Ausgabe 10/2019
Print ISSN: 0179-0358
Elektronische ISSN: 1437-9813
DOI: https://doi.org/10.1007/s00383-019-04519-9

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Clinical application and technical standardization of indocyanine green (ICG) fluorescence imaging in pediatric minimally invasive surgery