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Intraoperative fluorescence imaging during complex urologic pelvic surgery

Urology & Nephrology Open Access Journal
Srinath Kotamarti, Ervin Teper, Ariel Schulman

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Extirpative therapy remains an important treatment for the management of invasive pelvic cancers. Radical cystectomy or anterior pelvic exenteration with urinary diversion has the potential  for  postoperative  morbidity  and  mortality.  Several  critical  components  of  these  procedures such as delicate anastomoses can be affected by potential complications related to ischemia and are subject to the limitations of visualization with only white light in the operating room. Indocyanine green (ICG) is a fluorescent dye that has several applications in Urology. We examine the implementation of ICG within pelvic extirpative therapies as well as review the many uses of ICG within Urologic procedures.


ICG, cystectomy, exenteration