Evaluation of a novel dye for near-infrared fluorescence delineation of the ureters during laparoscopy

M. Al-Taher*, J. van den Bos, R. M. Schols, B. Kubat, N. D. Bouvy, L. P. S. Stassen

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

12 Citations (Web of Science)

Abstract

Background: Iatrogenic ureteric injury remains a risk in laparoscopic pelvic procedures. Near-infrared fluorescence (NIRF) imaging is a promising new technique for enhanced intraoperative visualization of anatomical structures that could improve the safety of laparoscopic surgery. A new dye, IRDye (R) 800-BK, has been developed for intraoperative visualization of the ureters using NIRF. The present study was a first evaluation of the performance of IRDye (R) 800-BK for ureteric imaging during NIRF laparoscopy. Methods: This study consisted of three parts: real-time in vivo NIRF imaging using IRDye (R) 800-BK in pigs during laparoscopic surgery, ex vivo NIRF imaging of freshly explained pig ureters and ex vivo NIRF imaging of explanted human ureters. Results: In all animals, both left and right ureters were visualized throughout the laparoscopic procedure for 120 min, with the best results at a dose of 0.15 mg dye per kg bodywcight. NIRF imaging was successful in all human and porcine ureters studied, with a range of dye concentrations. Conclusion: NIRF imaging of the ureters using IRDye (R) 800-BK was used successfully both in vivo in a porcine model, and ex vivo in porcine and human ureters.
Original languageEnglish
Pages (from-to)254-261
Number of pages8
JournalBJS Open
Volume2
Issue number4
DOIs
Publication statusPublished - 1 Aug 2018

Keywords

  • REAL-TIME
  • SURGERY
  • VISUALIZATION
  • INJURY

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