{Reference Type}: Journal Article
{Title}: Fluorescence guidance during robotic resection of bladder wall endometriosis: case report and technique.
{Author}: Bruneel Y;Ghysel C;Van Holsbeke C;Van Trappen P;
{Journal}: J Surg Case Rep
{Volume}: 2023
{Issue}: 10
{Year}: 2023 Oct
暂无{DOI}: 10.1093/jscr/rjad604
{Abstract}: The application of indocyanine green (ICG) has recently been reported to aid in the resection of endometriosis in the bladder wall and/or involving the ureters. A symptomatic 41-year-old patient with dysmenorrhea and pollakisuria was referred to our tertiary center. Imaging revealed a 1.5-2 cm intramural endometriotic nodule in the posterior bladder wall. She was planned for robotic resection of the endometriotic nodule, under ICG guidance, together with a hysterectomy. After placement of double-J ureteral stents and clamping the bladder, perforation of the bladder mucosa could be avoided whilst performing a circumferential resection of the nodule. By clamping the bladder catheter after instillation of ICG, both the bladder wall thickness and ureters could be visualized with near-infrared imaging during robotic resection of the endometriotic nodule and hysterectomy. With the surgical approach described here, endometriotic nodules/tissue can be removed precisely with enlarged vision at the robot console, safely, and completely without damaging adjacent tissues.