Use of indocyanine green in the resection of renal cysts in children
- Authors: Kozlov Y.A.1,2,3, Poloyan S.S.1,3, Marchuk A.A.1, Rozhanski A.P.3, Byrgazov A.A.3, Kovalkov K.A.4,5, Kapuller V.M.6, Narkevich A.N.7, Muravev S.A.3
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Affiliations:
- Irkutsk State Regional Children’s Clinical Hospital
- Irkutsk State Medical Academy of Continuing Education — branch of Russian Medical Academy of Continuous Professional Education
- Irkutsk State Medical University
- Kemerovo Clinical Pediatric Hospital
- Kemerovo State Medical University
- Assuta University Medical Center, Ben Gurion University of the Negev
- Voino-Yasenetsky Krasnoyarsk State Medical University
- Issue: Vol 13, No 1 (2023)
- Pages: 63-72
- Section: Case reports
- URL: https://journals.rcsi.science/2219-4061/article/view/132761
- DOI: https://doi.org/10.17816/psaic1494
- ID: 132761
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Abstract
Fluorescent imaging technology with indocyanine green (ICG) is used to improve intraoperative visualization of the anatomical structures of the affected organs and increase the efficiency of laparoscopic or robotic operations. Recently, ICG imaging has been used in pediatric gastroenterology, oncology, and urology.
In this study, we present laparoscopic treatment of two cases of simple renal cysts in two male patients aged 10 and 12 years. Resection of the extrarenal portion of the kidney cyst was performed using fluoroscopic control by intravenous administration of ICG. The intrarenal residue was subjected to argon-plasma coagulation. Treatment outcomes were assessed over a follow-up period of 6 and 12 months. The cyst sizes measured before surgery using ultrasound and computed tomography were 50 and 70 mm. Both cysts were located in the lower pole of the right kidney. The operation times were 40 and 45 min. During the surgical intervention, no complications such as bleeding from the kidney parenchyma or damage to neighboring organs occurred. In all cases, the cyst contained a clear liquid without pathological impurities. The cytological examination revealed a low cell content, which was represented by single macrophages and urothelial cells. Histological analysis revealed that the lining of the cyst wall was represented by the transitional epithelium without signs of malignancies. The hospital length of stay was 3 days. Ultrasound examinations performed 1, 3, 6, and 12 months after the operation did not detect signs of disease recurrence. Thus, based on the presented clinical case, the main advantage of using fluorescent technology during kidney cyst resection include a clear definition of the demarcation line between the avascular wall of the cyst and the perfused kidney tissue, which helps prevent bleeding from the renal parenchyma.
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##article.viewOnOriginalSite##About the authors
Yury A. Kozlov
Irkutsk State Regional Children’s Clinical Hospital; Irkutsk State Medical Academy of Continuing Education — branch of Russian Medical Academy of Continuous Professional Education; Irkutsk State Medical University
Email: yuriherz@hotmail.com
ORCID iD: 0000-0003-2313-897X
MD, Dr. Sci. (Med.), Corresponding member of Russian Academy of Sciences; сhief; head of the Department of pediatrics and pediatric surgery
Russian Federation, Irkutsk; Irkutsk; IrkutskSimon S. Poloyan
Irkutsk State Regional Children’s Clinical Hospital; Irkutsk State Medical University
Email: simonpoloyan@ya.ru
ORCID iD: 0000-0001-7042-6646
head of pediatric surgery
Russian Federation, Irkutsk; IrkutskAndrei A. Marchuk
Irkutsk State Regional Children’s Clinical Hospital
Email: maa-ped20@yandex.ru
ORCID iD: 0000-0001-9767-0454
surgeon
Russian Federation, IrkutskAlexander P. Rozhanski
Irkutsk State Medical University
Email: alexanderozhanski@mail.ru
ORCID iD: 0000-0001-7922-7600
surgical resident of the Department of Pediatrics and Pediatric Surgery of Additional Professional Education
Russian Federation, IrkutskAnton A. Byrgazov
Irkutsk State Medical University
Email: byrgazov.ant-doc38@yandex.ru
ORCID iD: 0000-0002-9195-5480
radiologist
Russian Federation, IrkutskKonstantin A. Kovalkov
Kemerovo Clinical Pediatric Hospital; Kemerovo State Medical University
Email: gs-det-hirurg@kuzdrav.ru
ORCID iD: 0000-0001-6126-4198
MD, Cand. Sci. (Med.), assistant professor, head of pediatric surgery
Russian Federation, Kemerovo; KemerovoVadim M. Kapuller
Assuta University Medical Center, Ben Gurion University of the Negev
Email: kapullervadim@mail.com
ORCID iD: 0000-0003-0076-5778
MD, PhD, head of pediatric surgery
Israel, AshdodArtem N. Narkevich
Voino-Yasenetsky Krasnoyarsk State Medical University
Email: narkevichart@gmail.com
ORCID iD: 0000-0002-1489-5058
MD, Dr. Sci. (Med.), assistant professor, head of the Department of medical cybernetics and informatics, dean of the faculty of medicine, head of the Laboratory of medical cybernetics and management in health care
Russian Federation, KrasnoyarskSergey A. Muravev
Irkutsk State Medical University
Author for correspondence.
Email: muravev1999sergey@mail.ru
ORCID iD: 0000-0003-4731-7526
student
Russian Federation, IrkutskReferences
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