Use of indocyanine green to minimise uretero-enteric strictures after robotic radical cystectomy

BJU International
Nariman AhmadiMonish Aron

Abstract

To evaluate the impact of indocyanine green (ICG) for assessing ureteric vascularity on the rate of uretero-enteric stricture formation after robot-assisted radical cystectomy (RARC) with intracorporeal urinary diversion (ICUD). We identified 179 patients undergoing RARC and ICUD between January 2014 and May 2017, and divided the patients into two groups based on the utilisation of ICG for the assessment of ureteric vascularity (non-ICG group and ICG group). We retrospectively reviewed the medical records to identify the length of ureter excised. Demographic, perioperative outcomes (including 90-day complications and readmissions), and the rate of uretero-enteric stricture were compared between the two groups. The two groups were compared using the t-test for continuous variables and the chi-squared test for categorical variables. A P < 0.05 was considered statistically significant. A total of 132 and 47 patients were in the non-ICG group and the ICG group, respectively. There were no differences in baseline characteristics and perioperative outcomes including operating time, estimated blood loss, and length of stay. The ICG group was associated with a greater length of ureter being excised during the uretero-enteric anastomosi...Continue Reading

References

Jan 21, 2012·Current Opinion in Urology·Nynke S van den BergHenk G van der Poel
Dec 25, 2012·The Journal of Urology·Christopher B AndersonSam S Chang
Sep 16, 2014·European Urology·Ziho LeeDaniel D Eun
Sep 25, 2016·Journal of Robotic Surgery·Anthony S Bates, Vipul R Patel
May 1, 2017·The Journal of Urology·Sam S ChangJeffrey M Holzbeierlein

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Citations

Mar 14, 2020·International Braz J Urol : Official Journal of the Brazilian Society of Urology·Petar KavaricMarko Vukovic
Apr 29, 2020·Expert Review of Medical Devices·Ugo FalagarioRiccardo Autorino
Feb 18, 2021·International Journal of Urology : Official Journal of the Japanese Urological Association·Kassem S FarajMark D Tyson
Mar 26, 2021·Journal of Surgical Oncology·Subramanyeshwar Rao ThammineediChandrakanth Are
Jun 23, 2021·Current Opinion in Urology·Calvin C ZhaoLee C Zhao
Jun 18, 2021·Current Opinion in Urology·Maartje E M van 't HofJoep G H van Roermund

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