Robotic-assisted laparoscopic radical prostatectomy represents one of the most common operations in urologic oncology and involves several critical technical steps including pelvic lymph node dissection, cavernous nerve sparing and vesicourethral anastomosis. The quality of performing these steps is linked to functional and oncological outcomes. Indocyanine green [ICG] is a non-radioactive, water-soluble compound which allows for enhanced visualization with near-infrared fluorescence of both anatomical structures and vasculature during complex abdominal operations such as prostatectomy. During the last decade, several investigators have examined the value and role of ICG fluorescence during prostatectomy. In this review, we sought to evaluate the body of evidence for fluorescence-guided robotic prostatectomy as well as assess potential future areas of investigation with this technology.
International urology and nephrology. 2022 Jul 29 [Epub ahead of print]
Osamah Hasan, Alexandra Reed, Mohammed Shahait, Raju Chelluri, David I Lee, Ryan W Dobbs
Department of Surgery, Division of Urology, Cook County Health, Chicago, IL, USA. ., Rosalind Franklin University of Medicine and Science, North Chicago, IL, USA., Department of Surgery, Division of Urology, University of Pennsylvania, Philadelphia, PA, USA.