Laparoscopic right-side partial nephrectomy with fluorescence imaging in the near infrared spectrum using indocyanine green

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Abstract

A clinical case of the use of fluorescence imaging in the near infrared spectrum with indocyanine green during laparoscopic right-side partial nephrectomy is presented in the article.

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About the authors

T. R. Biktimirov

Federal Clinical Center for HMT; O.K. Skobelkin State Scientific Center of Laser Medicine

Author for correspondence.
Email: urologbiktimirov@mail.ru

urologist at the Federal Clinical Center for HMT, Moscow region, Khimki, md. Novogorsk, Russia; researcher at the Department of Urology of O.K. Skobelkin State Scientific Center of Laser Medicine

Russian Federation, Moscow region, Khimki, md. Novogorsk; Moscow

A. G. Martov

Department of Urology and Andrology of Federal Medical and Biological Center named after A.I. Burnazyan FMBA RF

Email: martovalex@mail.ru

corresponding member of RAS, Ph.D., MD, professor, Head of the Department of Urology and Andrology of Federal Medical and Biological Center named after A.I. Burnazyan FMBA RF

Russian Federation, Moscow

R. G. Biktimirov

Federal Clinical Center for HMT; Department of Urology and Andrology of Federal Medical and Biological Center named after A.I. Burnazyan FMBA RF

Email: Rafbik@yandex.ru

Ph.D., Head of the Department of Urology of Federal Clinical Center for HMT, Moscow region, Khimki, md. Novogorsk, Russia; researcher at the Department of Urology of O.K. Skobelkin State Scientific Center of Laser Medicine, Moscow, Russia; associate professor at the Department of Urology and Andrology of A.I. Burnazyan SRC FMBC, FMBA of Russia

Russian Federation, Moscow region, Khimki, md. Novogorsk; Moscow

A. V. Baranov

O.K. Skobelkin State Scientific Center of Laser Medicine

Email: aleksey-baranov@mail.ru

Ph.D., MD, director of O.K. Skobelkin State Scientific Center of Laser Medicine

Russian Federation, Moscow

A. A. Kaputovskiy

Department of Urology and Andrology of Federal Medical and Biological Center named after A.I. Burnazyan FMBA RF

Email: kaputovsky79@mail.ru

Ph.D. student at the Department of Urology and Andrology of A.I. Burnazyan SRC FMBC, FMBA of Russia

Russian Federation, Moscow

A. M. Khitrikh

Department of Urology and Andrology of Federal Medical and Biological Center named after A.I. Burnazyan FMBA RF

Email: xitrix.n@yandex.ru

urologist at the Federal Clinical Center for HMT, Moscow region, Khimki, md. Novogorsk, Russia; Ph.D. student at the Department of Urology and Andrology of A.I. Burnazyan SRC FMBC, FMBA of Russia

Russian Federation, Moscow

N. A. Amosov

GBUZ Moscow district “Moscow Regional Research Clinical Institute named after M.F. Vladimirsky

Email: amosov-av@yandex.ru

urologist, GBUZ Moscow district “Moscow Regional Research Clinical Institute named after M.F. Vladimirsky

Russian Federation, Moscow

E. S. Tokareva

Email: doctor.dragunova@yandex.ru

radiologist at the Clinic of Lyadov (“Moscow Center of Rehabilitation treatment)

Russian Federation

References

  1. Alekseev B.Ya., Kalpinsky A.S., Polyakov V.A., Andrianov A.N. Laparoscopic resection of the kidney in case of tumor lesion. Oncology. Journal named after P.A. Herzen. 2012;1(1):4–9. Russian (Алексеев Б.Я., Калпинский А.С., Поляковb В.А., Андрианов А.Н. Лапароскопическая резекция почки при опухолевом поражении. Онкология. Журнал им. П.А. Герцена. 2012;1(1):4 9).
  2. Puchkov K.V., Filimonov V.B., Krapivin A.A., Vasin R.V. Surgical treatment of kidney cancer today: laparoscopic radical nephrectomy and kidney resection. Urology. 2008;1:47–53. Russian (Пучков К.В., Филимонов В.Б., Крапивин А.А., Васин Р.В. Хирургическое лечение рака почки сегодня: лапароскопическая радикальная нефрэктомия и резекция почки. Урология. 2008;1:47–53).
  3. Pavlov A.Yu., Kravtsov I.B. The functional state of the kidneys and the course of the postoperative period during kidney resection for cancer. General Practitioner’s Handbook. 2013;7:64–69. Russian (Павлов А.Ю., Кравцов И.Б. Функциональное состояние почек и течение послеоперационного периода при резекции почки по поводу рака. Справочник врача общей практики. 2013;7:64–69).
  4. Bertolo R., Garisto J., Dagenais J., Agudelo J., Armanyous S. Cold versus warm ischemia robotaassisted partial nephrectomy: Comparison of functional outcomes in propensity-score matched «at risk» рatients. Journal Endourology. 2018;21.
  5. Tobis S., Knopf J., Silvers C., Yao J., Rashid H. Wu G., Golijanin D. Near infrared fluorescence imaging with robotic assisted laparoscopic partial nephrectomy: initial clinical experience for renal cortical tumors. J Urol. 2011;186(1):47-52. doi: 10.1016/j.juro.2011.02.2701.

Supplementary files

Supplementary Files
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1. JATS XML
2. Fig. 1. 3D CT angiography

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3. Fig. 2. Localization of the kidney tumor and application of a clamp to the branch of the renal artery supplying the tumor

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4. Fig. 3. View of the kidney in the mode of superimposing near-infrared light on white light with visualization of fluorescence of the blood-supplied areas of the kidney in green color

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5. Fig. 4. View of the kidney in the near-infrared spectrum in monochromatic mode against white light with visualization of the ischemic segment of the kidney in the form of a dark triangle

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6. Fig. 5. View of the kidney in the mode of superimposing near-infrared light on white light with visualization of fluorescence of the blood-supplied areas of the kidney in blue. A clear boundary between the blood-supplied renal parenchyma and the ischemic tumor is visible

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