Purpose: The aim of the present study is to investigate the impact of the near-infrared (NIRF) technology with indocyanine green (ICG) in robotic urologic surgery by performing a systematic literature review and to provide evidence-based expert recommendations on best practices in this field. Methods: All English language publications on NIRF/ICG-guided robotic urologic procedures were evaluated. We followed the PRISMA (Preferred Reporting Items for Systematic Review and Meta-Analyses) statement to evaluate PubMed®, Scopus® and Web of Science™ databases (up to April 2019). Experts in the field provided detailed pictures and intraoperative video-clips of different NIRF/ICG-guided robotic surgeries with recommendations for each procedure. A unique QRcode was generated and linked to each underlying video-clip. This new exclusive feature makes the present the first “dynamic paper” that merges text and figure description with their own video providing readers an innovative, immersive, high-quality and user-friendly experience. Results: Our electronic search identified a total of 576 papers. Of these, 36 studies included in the present systematic review reporting the use of NIRF/ICG in robotic partial nephrectomy (n = 13), robotic radical prostatectomy and lymphadenectomy (n = 7), robotic ureteral re-implantation and reconstruction (n = 5), robotic adrenalectomy (n = 4), robotic radical cystectomy (n = 3), penectomy and robotic inguinal lymphadenectomy (n = 2), robotic simple prostatectomy (n = 1), robotic kidney transplantation (n = 1) and robotic sacrocolpopexy (n = 1). Conclusion: NIRF/ICG technology has now emerged as a safe, feasible and useful tool that may facilitate urologic robotic surgery. It has been shown to improve the identification of key anatomical landmarks and pathological structures for oncological and non-oncological procedures. Level of evidence is predominantly low. Larger series with longer follow-up are needed, especially in assessing the quality of the nodal dissection and the feasibility of the identification of sentinel nodes and the impact of these novel technologies on long-term oncological and functional outcomes.

Best practices in near-infrared fluorescence imaging with indocyanine green (NIRF/ICG)-guided robotic urologic surgery: a systematic review-based expert consensus / Cacciamani, G. E.; Shakir, A.; Tafuri, A.; Gill, K.; Han, J.; Ahmadi, N.; Hueber, P. A.; Gallucci, M.; Simone, G.; Campi, R.; Vignolini, G.; Huang, W. C.; Taylor, J.; Becher, E.; Van Leeuwen, F. W. B.; Van Der Poel, H. G.; Velet, L. P.; Hemal, A. K.; Breda, A.; Autorino, R.; Sotelo, R.; Aron, M.; Desai, M. M.; De Castro Abreu, A. L.. - In: WORLD JOURNAL OF UROLOGY. - ISSN 0724-4983. - 38:4(2020), pp. 883-896. [10.1007/s00345-019-02870-z]

Best practices in near-infrared fluorescence imaging with indocyanine green (NIRF/ICG)-guided robotic urologic surgery: a systematic review-based expert consensus

Gallucci M.;Campi R.;Becher E.;Aron M.;
2020

Abstract

Purpose: The aim of the present study is to investigate the impact of the near-infrared (NIRF) technology with indocyanine green (ICG) in robotic urologic surgery by performing a systematic literature review and to provide evidence-based expert recommendations on best practices in this field. Methods: All English language publications on NIRF/ICG-guided robotic urologic procedures were evaluated. We followed the PRISMA (Preferred Reporting Items for Systematic Review and Meta-Analyses) statement to evaluate PubMed®, Scopus® and Web of Science™ databases (up to April 2019). Experts in the field provided detailed pictures and intraoperative video-clips of different NIRF/ICG-guided robotic surgeries with recommendations for each procedure. A unique QRcode was generated and linked to each underlying video-clip. This new exclusive feature makes the present the first “dynamic paper” that merges text and figure description with their own video providing readers an innovative, immersive, high-quality and user-friendly experience. Results: Our electronic search identified a total of 576 papers. Of these, 36 studies included in the present systematic review reporting the use of NIRF/ICG in robotic partial nephrectomy (n = 13), robotic radical prostatectomy and lymphadenectomy (n = 7), robotic ureteral re-implantation and reconstruction (n = 5), robotic adrenalectomy (n = 4), robotic radical cystectomy (n = 3), penectomy and robotic inguinal lymphadenectomy (n = 2), robotic simple prostatectomy (n = 1), robotic kidney transplantation (n = 1) and robotic sacrocolpopexy (n = 1). Conclusion: NIRF/ICG technology has now emerged as a safe, feasible and useful tool that may facilitate urologic robotic surgery. It has been shown to improve the identification of key anatomical landmarks and pathological structures for oncological and non-oncological procedures. Level of evidence is predominantly low. Larger series with longer follow-up are needed, especially in assessing the quality of the nodal dissection and the feasibility of the identification of sentinel nodes and the impact of these novel technologies on long-term oncological and functional outcomes.
2020
Firefly: robotic surgery; ICG; Indocyanine green; Lymphadenectomy; Near-infrared fluorescence; NIRF; Robotic adrenalectomy; Robotic partial nephrectomy; Robotic radical cystectomy; Robotic radical prostatectomy; Urology
01 Pubblicazione su rivista::01a Articolo in rivista
Best practices in near-infrared fluorescence imaging with indocyanine green (NIRF/ICG)-guided robotic urologic surgery: a systematic review-based expert consensus / Cacciamani, G. E.; Shakir, A.; Tafuri, A.; Gill, K.; Han, J.; Ahmadi, N.; Hueber, P. A.; Gallucci, M.; Simone, G.; Campi, R.; Vignolini, G.; Huang, W. C.; Taylor, J.; Becher, E.; Van Leeuwen, F. W. B.; Van Der Poel, H. G.; Velet, L. P.; Hemal, A. K.; Breda, A.; Autorino, R.; Sotelo, R.; Aron, M.; Desai, M. M.; De Castro Abreu, A. L.. - In: WORLD JOURNAL OF UROLOGY. - ISSN 0724-4983. - 38:4(2020), pp. 883-896. [10.1007/s00345-019-02870-z]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/1418517
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