title: Intraureteral and intravenous indocyanine green to facilitate robotic partial nephroureterectomy in a patient with complete ureteral triplication.
abstract: A patient with a complete right ureteral triplication presented with recurrent pyelonephritis and flank pain that was refractory to medical management. Evaluation showed that the atrophic upper-most renal moiety had been chronically obstructed and was associated with a dilated ureter. Intraureteral and intravenous indocyanine green (ICG) were used as real-time contrast agents intraoperatively to facilitate right robotic partial nephroureterectomy of the diseased system. Intraureteral ICG was used to accurately distinguish the pathologic ureter and associated renal pelvis from its normal counterparts. Intravenous ICG was used to assess perfusion in the right kidney and delineate the margins of diseased renal parenchyma.
authors.affiliation: Department of Urology, Temple University School of Medicine, Philadelphia, PA, USA.
authors.forename: Matthew
authors.initials: M
authors.lastname: Lee
authors.affiliation: Department of Urology, Temple University School of Medicine, Philadelphia, PA, USA.
authors.forename: Ziho
authors.initials: Z
authors.lastname: Lee
authors.affiliation: Department of Urology, Temple University School of Medicine, Philadelphia, PA, USA.
authors.forename: Daniel
authors.initials: D
authors.lastname: Eun
mesh_terms: D000287:Administration, Topical; D000328:Adult; D004396:Coloring Agents / Q000008:administration & dosage; D005260:Female; D006801:Humans; D007208:Indocyanine Green / Q000008:administration & dosage*; D007262:Infusions, Intravenous; D009392:Nephrectomy / Q000379:methods*; D011704:Pyelonephritis / Q000601:surgery; D065287:Robotic Surgical Procedures / Q000379:methods*; D014057:Tomography, X-Ray Computed; D014513:Ureter / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery*
chemical_list: D004396:Coloring Agents; D007208:Indocyanine Green
keywords: Indocyanine green; Nephrectomy; Robotic surgical procedures