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Fluorescence-enabled assessment of adrenal gland localization and perfusion in posterior retroperitoneoscopic adrenal surgery in a preclinical model.

Barbara SeeligerMartin K WalzPier F AlesinaVincent AgnusRaoul PopManuel BarberioAlend SaadiMarc WorrethJacques MarescauxMichele Diana
Published in: Surgical endoscopy (2019)
Fluorescence imaging provides real-time guidance during minimally invasive adrenal surgery. Prior to dissection, it allows to easily discriminate the adrenal gland from surrounding retroperitoneal structures. After adrenal gland division, ICG injection associated with a computer-assisted quantitative analysis helps to distinguish between well-perfused and ischemic segments. Further studies are underway to establish the correlation between remnant perfusion and viability.
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