Use of indocyanine green (ICG) augmented near-infrared fluorescence imaging in robotic radical resection of gallbladder adenocarcinomas

Ahmad, Ali

doi:10.1007/s00464-019-07053-w

Cited by 21 publications

(24 citation statements)

References 24 publications

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“…The advantages of MIS for GBC have not been convincingly confirmed. In previous studies, 21,22,18,[23][24][25][26][27][28][29][30][31][32][33][34][35][36][37][39][40][41][42][43][44] the authors reported MIS may promote early recovery and discharge in selected patients. Thus, careful preoperative selection of patients is the key to ensure a successful outcome.…”

Section: Discussionmentioning

confidence: 99%

“…As the da Vinci Robotic Surgical System appeared, studies on the treatment of GBC with robot-assisted laparoscopic resection had been reported (Table S3). [39][40][41][42][43][44] Compared with traditional laparoscopic instruments, robot-assisted surgery can provide a three-dimensional stereoscopic visualization. In addition, it has many advantages for surgeons, such as improving surgical flexibility, eliminating physiological tremors and operating in a highly accurate manner.…”

Section: Robotic Surgerymentioning

confidence: 99%

“…In addition, it has many advantages for surgeons, such as improving surgical flexibility, eliminating physiological tremors and operating in a highly accurate manner. 45,46 A total of six studies were included (Table S3), [39][40][41][42][43][44] including 73 patients (Table S1), of which 53 patients (72.6%) were PGBC and 20 patients (27.4%) were IGBC. Among the patients, liver resection, lymphadenectomy and bile duct resection were performed in 46 (63.0%), 62 (84.9%) and 1 (1.4%) patients, respectively.…”

Section: Robotic Surgerymentioning

confidence: 99%

“…All previous studies [39][40][41][42][43][44] reported RS for selected GBC patients is feasible and safe. Compared with OS, the similar results of shortterm were observed by Goel et al 43 It follows that RS is available for GBC.…”

Section: Robotic Surgerymentioning

confidence: 99%

“…A total of six studies were included (Table S3), 39–44 including 73 patients (Table S1), of which 53 patients (72.6%) were PGBC and 20 patients (27.4%) were IGBC. Among the patients, liver resection, lymphadenectomy and bile duct resection were performed in 46 (63.0%), 62 (84.9%) and 1 (1.4%) patients, respectively.…”

Section: Robotic Surgerymentioning

confidence: 99%

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Current status and future perspectives of minimally invasive surgery in gallbladder carcinoma

Jin

et al. 2020

ANZ Journal of Surgery

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Background: Gallbladder carcinoma (GBC) is the most common biliary tract malignancy, which is characterized by easy local invasion, lymph nodes metastasis, local vascular invasion. Hence, minimally invasive surgery (MIS) can be performed in a limited number of patients. In our study, we reviewed the current studies on laparoscopic surgery (LS) and robotic surgery (RS) for GBC and analysed the limitations and difficulties of MIS for GBC. Methods: Multiple electronic databases were used for a systematic literature retrieval. All studies involving MIS of GBC were included (up to August 2019). Results: A total of 24 studies were included, of which 18 studies involved LS for GBC and six studies concerned RS of GBC. For LS, 16 studies contained relevant information of T stage, and 323 patients (98.8%) had T3 or lower stage; the average rate of R0 resection, conversion, postoperative complications and mortality was 95.3% (range 80.5-100%), 1.9% (range 0-16.7%), 13.4% (range 0-33.3%) and 1.0% (range 0-10%), respectively. For RS, four studies contained relevant information of T stage, and all patients were T3 or lower stage; the average rate of R0 resection, conversion and postoperative complications was 96.8% (range 81.8-100%), 5.5% (range 0-14.8%) and11.9% (range 0-36.4%), respectively. In addition, no patient had perioperative mortality. Conclusions: MIS for GBC is limited to highly selected patients and is considered to be technically feasible in experienced surgeons. However, improvements in technical and instrumental are needed to reduce the associated postoperative complications and implantation metastasis, and to promote MIS in the treatment of GBC.

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Section: Discussionmentioning

confidence: 99%

Section: Robotic Surgerymentioning

confidence: 99%

Section: Robotic Surgerymentioning

confidence: 99%

Section: Robotic Surgerymentioning

confidence: 99%

Section: Robotic Surgerymentioning

confidence: 99%

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Current status and future perspectives of minimally invasive surgery in gallbladder carcinoma

Jin

et al. 2020

ANZ Journal of Surgery

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Indocyanine green (ICG) fluorescence in robotic hepatobiliary surgery: A systematic review

Potharazu

Gangemi

2022

Robotics Computer Surgery

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Background: Indocyanine green fluorescence (ICG-F) stains hepatic tumours and delineates vascular and biliary structures in real-time. We detail the efficacy of ICG-F in robotic hepatobiliary surgery.Methods: PubMed, EMBASE, Web of Science, and Cochrane Central were searched for original articles and meta-analyses detailing the outcomes of ICG-F in robotic hepatobiliary surgery.Results: 214 abstracts were reviewed; 16 studies are presented. One singleinstitution study reported ICG-F in robotic right hepatectomy reduced postoperative bile leakage (0% vs. 12%, p = 0.023), R1 resection (0% vs. 16%, p = 0.019), and readmission (p = 0.023) without prolonging operative time (288 vs. 272 min, p = 0.778). Improved visualisation aided in attainment of R0 resection in partial hepatectomies and radical gallbladder adenocarcinoma resections. Fewer ICG-Faided robotic cholecystectomies were converted to open procedure compared to laparoscopic cholecystectomies (2.1% vs. 8.9%, p = 0.03; 0.15% vs. 2.6%, p < 0.001).Conclusions: ICG-F improves clinical outcomes in robotic hepatobiliary surgery without prolonging operative time. There is an opportunity to standardise ICG administration protocols, especially for hepatectomies.

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Fluorescence-Guided Surgery of the Biliary Tree Utilizing Indocyanine Green (ICG)

Broderick

Reeves

Horgan

2021

Innovative Endoscopic and Surgical Technology in the GI Tract

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Use of indocyanine green (ICG) augmented near-infrared fluorescence imaging in robotic radical resection of gallbladder adenocarcinomas

Cited by 21 publications

References 24 publications

Current status and future perspectives of minimally invasive surgery in gallbladder carcinoma

Current status and future perspectives of minimally invasive surgery in gallbladder carcinoma

Indocyanine green (ICG) fluorescence in robotic hepatobiliary surgery: A systematic review

Fluorescence-Guided Surgery of the Biliary Tree Utilizing Indocyanine Green (ICG)

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