Use of intraoperative fluorescence to enhance robot-assisted radical prostatectomy

Robot-assisted radical prostatectomy has become the standard of care for the removal of localized prostate cancer. Positive outcomes depend upon the precise removal of the prostate and associated tissue without damage to nearby structures. This process can be aided by fluorescence-guided surgery to...

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Bibliographic Details
Published in:Future oncology (London, England) Vol. 17; no. 9; p. 1083
Main Authors: Rajakumar, Timothy, Yassin, Musaab, Musbahi, Omar, Harris, Eli, Lopez, J Francisco, Bryant, Richard J, Tullis, Iain Dc, Vojnovic, Borivoj, Hamdy, Freddie C, Lamb, Alastair D
Format: Journal Article
Language:English
Published: England 01.03.2021
Subjects:
Fluorescence
Fluorescent Dyes - metabolism
Fluorescent Dyes - therapeutic use
Humans
Intraoperative Period
Lymph Nodes - metabolism
Lymph Nodes - surgery
Male
Organ Sparing Treatments
Prostate - innervation
Prostate - metabolism
Prostate - surgery
Prostatectomy
Prostatic Neoplasms - surgery
Robotic Surgical Procedures
nerve-sparing
prostate cancer
intraoperative imaging
robot-assisted radical prostatectomy
fluorescence
RARP
ICG
robotic surgery
ISSN:1744-8301, 1744-8301
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Summary:Robot-assisted radical prostatectomy has become the standard of care for the removal of localized prostate cancer. Positive outcomes depend upon the precise removal of the prostate and associated tissue without damage to nearby structures. This process can be aided by fluorescence-guided surgery to enhance the visual contrast between different structures. Here the authors have conducted a systematic review using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines to identify ten investigations into the use of fluorescence-guided surgery in robot-assisted radical prostatectomy. These studies used fluorescent tracers to identify structures, including the prostate, neurovascular bundle and lymph nodes. These studies demonstrate the safe and effective use of fluorescence-guided surgery in robot-assisted radical prostatectomy and pave the way for further developments in this field.
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ISSN:1744-8301
1744-8301
DOI:10.2217/fon-2020-0370