ArticleJournal of clinical medicine2021
Usability of Indocyanine Green in Robot-Assisted Hepatic Surgery.
Article in Journal of clinical medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.
- Indocyanine green (ICG) fluorescence in robotic hepatobiliary surgery: A systematic review.The international journal of medical robotics + computer assisted surgery : MRCAS · 2023Pooled it
- Preoperative chemotherapy reduces the accumulation of indocyanine green around colorectal liver metastases for use in fluorescence-guided surgery.Surgical endoscopy · 2025Article
- Optimizing indocyanine green positive staining with total liver volume-normalized dosing in robotic hepatectomy: an image-based analysis.Journal of robotic surgery · 2025Observational
- Liver Robotic Surgery: A Review of Current Use and Future Perspectives.Journal of clinical medicine · 2025Review
- Review
- Article
- Semi-automatic standardized analysis method to objectively evaluate near-infrared fluorescent dyes in image-guided surgery.Journal of biomedical optics · 2024Article
- Article
- Robotic-assisted laparoscopy in pediatric surgical oncology: a narrative review.Translational pediatrics · 2023Review
- Preoperative planning and intraoperative real-time navigation with indocyanine green fluorescence in robotic liver surgery.Langenbeck's archives of surgery · 2023Article
- The Role of ICG in Robot-Assisted Liver Resections.Journal of clinical medicine · 2022Article
- Laparoscopic and Robot-Assisted Hepatic Surgery: An Historical Review.Journal of clinical medicine · 2022Review
- Review
- Advanced Robotic Surgery: Liver, Pancreas, and Esophagus - The State of the Art?Visceral medicine · 2021Review
- How molecular imaging will enable robotic precision surgery : The role of artificial intelligence, augmented reality, and navigation.European journal of nuclear medicine and molecular imaging · 2021Review
- Laparoscopic Liver Resection Enhanced by an Intervention-Guided Fluorescence Imaging Technique Using Sodium Fluorescein.Journal of clinical medicine · 2021Article
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Recent developments in robotic surgery have led to an increasing number of robot-assisted hepatobiliary procedures. However, a limitation of robotic surgery is the missing haptic feedback. The fluorescent dye indocyanine green (ICG) may help in this context, which accumulates in hepatocellular cancers and around hepatic metastasis. ICG accumulation may be visualized by a near-infrared camera integrated into some robotic systems, helping to perform surgery more accurately. We aimed to test the feasibility of preoperative ICG application and its intraoperative use in patients suffering from hepatocellular carcinoma and metastasis of colorectal cancer, but also of other origins. In a single-arm, single-center feasibility study, we tested preoperative ICG application and its intraoperative use in patients undergoing robot-assisted hepatic resections. Twenty patients were included in the final analysis. ICG staining helped in most cases by detecting a clear lesion or additional metastases or when performing an R0 resection. However, it has limitations if applied too late before surgery and in patients suffering from severe liver cirrhosis. ICG staining may serve as a beneficial intraoperative aid in patients undergoing robot-assisted hepatic surgery. Dose and time of application and standardized fluorescence intensity need to be further determined.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.