The ICG-Foley: A Novel Indocyanine Green-Coated Foley Catheter for Enhanced Anatomic Identification During Robot-Assisted Laparoscopic Prostatectomy.

IF 1.1 4区医学 Q3 SURGERY

Journal of Laparoendoscopic & Advanced Surgical Techniques Pub Date : 2026-09-17 DOI:10.1177/10926429261491068

Chad Heflick, Orly Guerra, Igor Sorokin

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引用次数: 0

Abstract

Background: Precise identification of the bladder neck and urethra during robot-assisted laparoscopic prostatectomy (RALP) is critical for continence preservation but remains challenging, particularly during the Retzius-sparing approach.

Objective: To describe a novel indocyanine green (ICG)-coated Foley catheter (ICG-Foley) that enhances intraoperative identification of the bladder neck and urethra during RALP and to report preliminary functional outcomes.

Methods: A 16Fr latex Foley catheter was soaked in ICG-saline solution (25 mg/210 mL) for 3 minutes before placement. The technique was evaluated in 4 consecutive patients undergoing RALP using the da Vinci SP and Xi robotic platforms.

Results: The ICG-Foley provided consistent near-infrared fluorescence throughout all procedures, enabling clear identification of the bladder neck and apical urethra. All 4 patients achieved continence (≤1 pad/day) by 12 months.

Conclusions: The ICG-Foley is a simple, low-cost adjunct that enhances real-time anatomic identification during RALP and may serve as a valuable tool for both experienced surgeons and those early in their learning curve.

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ICG-Foley：一种新型的吲哚菁绿色涂层Foley导管，用于机器人辅助腹腔镜前列腺切除术中增强解剖识别。

背景：在机器人辅助腹腔镜前列腺切除术（RALP）中，精确识别膀胱颈部和尿道对于保持尿失禁至关重要，但仍然具有挑战性，特别是在Retzius-sparing入路中。目的：描述一种新型吲哚菁绿（ICG）涂层Foley导管（ICG-Foley），该导管可增强术中对RALP期间膀胱颈和尿道的识别，并报告初步功能结果。方法：置管前将16Fr乳胶Foley导管置于icg生理盐水（25 mg/210 mL）中浸泡3分钟。使用达芬奇SP和Xi机器人平台对连续4例接受RALP的患者进行了技术评估。结果：ICG-Foley在所有手术过程中提供一致的近红外荧光，能够清楚地识别膀胱颈和尿道顶端。4例患者均在12个月时达到尿失禁（≤1尿垫/天）。结论：ICG-Foley是一种简单，低成本的辅助设备，可增强RALP期间的实时解剖识别，可作为经验丰富的外科医生和早期学习曲线的有价值的工具。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Laparoendoscopic & Advanced Surgical Techniques 医学-外科

CiteScore

2.90

自引率

0.00%

发文量

163

审稿时长

3 months

期刊介绍： Journal of Laparoendoscopic & Advanced Surgical Techniques (JLAST) is the leading international peer-reviewed journal for practicing surgeons who want to keep up with the latest thinking and advanced surgical technologies in laparoscopy, endoscopy, NOTES, and robotics. The Journal is ideally suited to surgeons who are early adopters of new technology and techniques. Recognizing that many new technologies and techniques have significant overlap with several surgical specialties, JLAST is the first journal to focus on these topics both in general and pediatric surgery, and includes other surgical subspecialties such as: urology, gynecologic surgery, thoracic surgery, and more.