Firefly® System and Organ Transillumination in Robotic Gynecologic Surgery

Rosati, M; Bramante, Silvia; Vigone, Alessandro; Gerbino, Martina; Conti, Fiorella; Mauri, Serena; Surico, Daniela

doi:10.4293/jsls.2021.00044

Cited by 1 publication

(2 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…14 Additionally, Rosati et al found that Firefly combined with organ transillumination techniques may reduce intraoperative and postoperative complication rates of robotic hysterectomy and pelvic lymphadenectomy with ureterolysis procedures due to enhanced visible anatomic detail. 15 The capability of surgeons to visualize structures and arterial perfusion in real time with Firefly technology shows great potential in reducing perioperative and postoperative complications, specifically in patients undergoing RARC with ileal conduit urinary diversion. Lee et al used NIRF and ICG fluorescence in 25 patients who underwent robot-assisted ureteral procedures and found that fluorescent technology is safe, easy to perform, and consistently reproduces results.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Comparison of the perioperative outcomes of using the Firefly system with indocyanine green during robotic‐assisted cystectomy with urinary diversion

Fu,

Hillman,

Talluri

et al. 2024

Int J of Urology

View full text Add to dashboard Cite

IntroductionUse of indocyanine green (ICG) with near‐infrared fluorescence (NIRF) has been demonstrated to be an effective tool for intraoperative assessment of bowel and ureteric vascularity. This study aimed to evaluate the impact of ICG on postsurgical outcomes such as anastomotic bowel leak and uretero‐enteric stricture formation during robot‐assisted cystectomy (RAC) and intracorporeal urinary diversion (ICUD).MethodsWe identified 238 patients who underwent RAC at the University of Louisville between September 2012 and August 2021. Patients were divided into two groups based on the utilization of ICG. Demographic, perioperative outcomes, and rate of anastomotic bowel leak were compared.ResultsIn total, 138 patients were in the ICG group and 100 patients were in the non‐ICG group. More intracorporeal urinary diversions and more simple cystectomies were observed in the ICG group (p < 0.001 and p = 0.015, respectively). The ICG group patients initiated an oral diet sooner than the control group (4.9 vs. 7.1 days, p < 0.001). The mean length of stay of the ICG group was shorter than the non‐ICG group (8.3 vs. 12.8 days, p < 0.001). The rate of postoperative ileus was not significantly different between cohorts. No patients in the ICG group experienced a bowel leak compared with five patients in the non‐ICG group (p = 0.008).ConclusionsIn our study, the use of ICG for intraoperative assessment of bowel and ureteric vascularity was associated with earlier bowel recovery and a shorter length of stay. It was also significantly correlated with a lower rate of anastomotic bowel leak.

show abstract

Section: Discussionmentioning

confidence: 99%

“…Additionally, Rosati et al. found that Firefly combined with organ transillumination techniques may reduce intraoperative and postoperative complication rates of robotic hysterectomy and pelvic lymphadenectomy with ureterolysis procedures due to enhanced visible anatomic detail 15 …”

Section: Discussionmentioning

confidence: 99%