Fluorescence techniques in adrenal surgery.
Adrenal surgery
fluorescence angiography
indocyanine green (ICG)
laparoscopy
near infrared imaging (NIR imaging)
Journal
Gland surgery
ISSN: 2227-684X
Titre abrégé: Gland Surg
Pays: China (Republic : 1949- )
ID NLM: 101606638
Informations de publication
Date de publication:
Jul 2019
Jul 2019
Historique:
entrez:
13
8
2019
pubmed:
14
8
2019
medline:
14
8
2019
Statut:
ppublish
Résumé
This chapter describes the use of fluorescence via indocyanine green (ICG) in minimally invasive adrenal surgery (laparoscopic and robotic). ICG is a non-toxic dye that can aid identification of vascular structures and parenchymal tissue planes in real time. The primary utility of ICG fluorescence in adrenal surgery is to help delineate the margins of resection, to guide a more precise operation. In particular, for patients with bilateral adrenal disease or a heredity associated with high risk of recurrence (e.g., VHL, MEN2a) this may facilitate subtotal adrenal resection (e.g., cortical sparing adrenalectomy), obviating the incidence of iatrogenic adrenal insufficiency and its numerous sequelae including lifelong hormone supplementation, osteoporosis and risk of Addisonian crisis.
Identifiants
pubmed: 31404180
doi: 10.21037/gs.2019.03.01
pii: gs-08-S1-S22
pmc: PMC6646814
doi:
Types de publication
Journal Article
Review
Langues
eng
Pagination
S22-S27Déclaration de conflit d'intérêts
Conflicts of Interest: The authors have no conflicts of interest to declare.
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