Robotic deep infiltrating endometriosis surgery guided by near-infrared fluorescence imaging with indocyanine green: a case report and literature review

doi:10.3877/cma.j.issn.1674-6899.2020.04.012

Abstract

Abstract:

Objective

To explore the feasibility of using indocyanine green(ICG) visualizing the deep infiltrating endometriosis (DIE) during robotic surgery.

Methods

A patient with DIE in Department of Genecology and Obstetrics, Chinese PLA General Hospital was selected and underwent total hysterectomy with bilateral adnexectomy and endometriosis lesion excision with perfect preoperative examination and no surgical contraindication. Near-infrared fluorescence imaging with indocyanine green was used in the operation to visualize the endometriosis lesions.

Results

The location of the lesions were accurate and the patient discharged from hospital successfully.

Conclusions

Near-infrared fluorescence imaging system with indocyanine green may clearly visualize the deep infiltrating endometriosis during robotic surgery. It is characterized by brief operation, accuracy and real time. With this technique, we can comprehensively evaluate the scope of our surgery.

Key words: Indocyanine green, Deep infiltrating endometriosis, Robotic surgery

Zhen Li, Mingxia Ye, Wen Yang, Wensheng Fan, Li′an Li, Yuanguang Meng. Robotic deep infiltrating endometriosis surgery guided by near-infrared fluorescence imaging with indocyanine green: a case report and literature review[J]. Chinese Journal of Laparoscopic Surgery(Electronic Edition), 2020, 13(04): 247-249.

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References 24

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