Robotic single-site endometriosis resection using near-infrared fluorescence imaging with indocyanine green: a prospective case series and review of literature

Jayakumaran, Jayapriya; Pavlovic, Zoran J.; Fuhrich, Daniele Geras; Wiercinski, Karen; Buffington, Cynthia; Caceres, Aileen

doi:10.1007/s11701-019-00951-0

Cited by 27 publications

(32 citation statements)

References 30 publications

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“…These 17 studies included six video‐articles (8 patients), 19‐22,26,27 one case report (1 patient), 16 one case series (6 patients), 14 two retrospective observational studies (57 patients), 12,24 seven prospective longitudinal studies, 8,11,13,15,18,23,25 one of which randomized 15 within‐subject (196 patients). When insufficient information was reported in the available papers, if necessary, we consulted the authors for further completing data; any disagreement was discussed and resolved by consensus.…”

Section: Resultsmentioning

confidence: 99%

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Indocyanine green in the surgical management of endometriosis: A systematic review

Ianieri

Corte

Campolo

et al. 2020

Acta Obstet Gynecol Scand

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Introduction Endometriosis is a very common disease that affects up to 10% of the female population. The use of indocyanine green (ICG) dye has been proposed to allow the proper localization of endometriotic lesions during surgery. Our purpose is to offer an overview of near‐infrared (NIR)‐ICG in the surgical treatment of superficial peritoneal endometriosis and deep infiltrating endometriosis. Material and methods Electronic databases were searched, including MEDLINE, Embase, Web of Science, Scopus, ClinicalTrial.gov, OVID and Cochrane Library. The studies were identified with the use of a mesh combination of the following keywords: “indocyanine green”, “endometriosis”, “deep endometriosis”, “robotic surgery”, “laparoscopy”, “ureter”, “rectosigmoid” from 2000 to May 2020. All articles describing the use of ICG applied to endometriosis surgery were considered for review. Only original papers that reported specific experience data on the topic were included. Moreover, video‐articles were included in the analysis. Quality and risk of bias were evaluated by two authors, respectively. Results Fifty‐three studies were reviewed and reviews or comment articles not reporting original data and original articles lacking specific data on the application of ICG in patients affected by endometriosis were excluded. The quality of the 17 studies included was assessed. Eight studies suggested the usefulness of NIR‐ICG as a tool in the detection of endometriosis during surgery, and one randomized controlled trial and one prospective study did not confirm the advantage of its use. Eight studies found that NIR‐ICG was useful for the evaluation of vascularization in intestinal anastomoses and ureterolysis after surgery for deep infiltrating endometriosis. Conclusions NIR‐ICG appears useful in the evaluation of vascularization in intestinal anastomoses after segmental resection, confirming its role even after ureterolysis for parametrial deep infiltrating endometriosis. However, its usefulness as a tool in the detection of endometriosis during surgery is inconsistent.

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Section: Resultsmentioning

confidence: 99%

“…Considering the high complication rate of DIE surgery 10 and the difficulty of identifying PE with its polymorphic appearance, the use of indocyanine green (ICG) dye, as a support to surgery for endometriosis, has been spreading over the last few years 11‐18 …”

Section: Introductionmentioning

confidence: 99%

Indocyanine green in the surgical management of endometriosis: A systematic review

Ianieri

Corte

Campolo

et al. 2020

Acta Obstet Gynecol Scand

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“…Removing as many lesions as possible and normalizing pelvic anatomy is essential to reduce pain and the recurrence rate in such patients. The technical advantages of robot surgery, as explained above, enable surgeons to more completely detect and resect the disease [17,20]. Second, patients who need bowel and urinary tract surgery that carries high complication rates and conversion to laparotomy are good candidates for RS [59,60].…”

Section: Discussionmentioning

confidence: 99%

“…The operator can thus feel comfortable and experience less fatigue despite long operative times [11,15]. The near-infrared fluorescence-indocyanine green (NIRF-ICG, firefly) technique of robot surgery can also improve the detection of endometriosis lesions invisible to the naked eye in white light (WL) illumination [16,17]. All of these advantages help robot surgery ensure a complete resection of endometriosis.…”

Section: Rs For Endometriosis Compared With Conventional Laparoscopy mentioning

confidence: 99%

“…They successfully resected advanced endometriosis using RSS surgery and an ICG in-jection. Jayakumaran and colleagues [17] reported their experience performing RSS surgery for endometriosis in seven patients. All the visible endometriosis lesions in those seven patients were successfully resected without any complication or the conversion to another surgical method.…”

Section: Robotic Single-site Surgery To Treat Endometriosismentioning

confidence: 99%

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The role of robotic surgery for endometriosis

Kang

Kim

2020

Gyne Robot Surg

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Endometriosis is a chronic gynecologic disorder characterized by chronic pelvic pain and infertility that affects approximately 11% of reproductive-aged women. Medical or surgical treatment is essential to manage symptoms and reduce recurrence. When surgical treatment is needed, laparoscopy is considered the gold standard treatment. However, the severity of the disease varies from simple endometrioma to bowel and urinary tract endometriosis, which require radical surgery. With severe endometriosis, even experienced surgeons often need to use laparotomy because of the technical limitations of laparoscopy. Robotic surgery (RS) can be an alternative treatment option because of the advanced visualization, wristed instruments, and ergonomic positioning that it offers to the surgeon. We reviewed previous studies to evaluate the role of RS for endometriosis. Compared with conventional laparoscopy, RS shows similar surgical outcomes, including blood loss and perioperative complications, but it is generally a more time-consuming procedure. RS has no added value for the treatment of early stage endometriosis. However, it does seem to have considerable advantages in complex endometriosis surgery, such as that for advanced stage, bowel, and urinary tract endometriosis, although that has not been shown statistically due to a lack of study. RS can also help prevent conversion to laparotomy and reduce the training period required for inexperienced surgeons. We cannot yet define the definitive role of RS in endometriosis due to its short history, but we note its value for complex surgery. Therefore, RS should be considered in selected patients.

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Research progress of indocyanine green fluorescence technology in gynecological applications

Li,

Zhang,

Fang

et al. 2023

Intl J Gynecology & Obste

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Indocyanine green is a near‐infrared fluorescent dye which is widely used in various fields of surgery and gynecology. It is currently mainly used to detect various malignant tumors, sentinel lymph nodes, endometriosis lesions, ureter or intestinal occlusion, vaginal perfusion, uterine arterial blood perfusion, pelvic nerve, uterine niche, lymphatic edema, metastatic lesion shadow, and so on, providing new methods for decision‐making during surgery. This article elaborates the application progress of indocyanine green fluorescence technology in gynecology.

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Robotic single-site endometriosis resection using near-infrared fluorescence imaging with indocyanine green: a prospective case series and review of literature

Cited by 27 publications

References 30 publications

Indocyanine green in the surgical management of endometriosis: A systematic review

Indocyanine green in the surgical management of endometriosis: A systematic review

The role of robotic surgery for endometriosis

Research progress of indocyanine green fluorescence technology in gynecological applications

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