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Robotic radical cystectomy - revision and resection: An evolution in operative technique and platforms.

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Indocyanine green (ICG) fluorescence technology has also been used to delineate bowel perfusion. The optimal point of transaction can be marked under white (visible) light followed by intravenous injection of… Click to show full abstract

Indocyanine green (ICG) fluorescence technology has also been used to delineate bowel perfusion. The optimal point of transaction can be marked under white (visible) light followed by intravenous injection of 6-8 mg of ICG [7]. The bowel is then visualized via near infrared laparoscopy and the point of transaction of the proximal is revised based on optimal bowel perfusion. This demonstrates the feasibility and advantages of the use of fluorescence imaging during creation of anastomosis; the advantages of endoscopic imaging to delineate integrity of the anastomosis as well the technique with regards to creating the anastomosis [7]. This can be used as part of cystectomy, when forming the conduit. To take this one step further, it can also be used, to assess the vasculature of the ileal conduit segment.

Keywords: robotic radical; cystectomy revision; resection evolution; cystectomy; revision resection; radical cystectomy

Journal Title: European journal of cancer care
Year Published: 2017

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