Intraureteral Instillation of Indocyanine Green for Intraoperative Identification of the Ureter During Laparoscopy
Topic overview
This technique demonstrates intraoperative ureter visualization using indocyanine green (ICG) fluorescence during laparoscopic procedures for duplex kidney systems. ICG is instilled cystoscopically into the lower moiety ureter, enabling near-infrared identification of the upper pole ureter to prevent inadvertent injury during surgery.
Key takeaways
- ICG is FDA-approved, well-tolerated, and cost-effective for pediatric surgical applications
- ICG fluoresces under near-infrared light (750-810nm), enabling real-time visualization during laparoscopy
- Cystoscopic ICG instillation into lower moiety ureter allows identification of upper pole ureter in duplex kidney
- Near-infrared fluorescence imaging enhances intraoperative ureter identification and reduces injury risk
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How to cite: GlobalCastMD. Intraureteral Instillation of Indocyanine Green for Intraoperative Identification of the Ureter During Laparoscopy. GlobalCastMD Medical Library. 2024-12-09. https://dev.library.globalcastmd.com/article/9509?via_space=staycurrentmd
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