603 Role of ICG in Robotic heminephrectomy of HSK

Dr. Sanjoy Sureka

Horseshoe kidney, characterized by complex vascular anatomy, presents challenges during heminephrectomy, particularly when renal preservation is a priority. This report describes the management of a 50-year-old female with a Left non-functioning moiety complicated by pyelonephrits, with CT angiography revealing an aberrant artery over the isthmus in addition to the inferior mesenteric artery. Laparoscopic left heminephrectomy was performed using intraoperative indocyanine green (ICG) fluorescence imaging. No intraoperative vascular or parenchymal injury occurred. Renal parenchyma of the functioning moiety was preserved, and recovery was uneventful Intraoperative ICG fluorescence is valuable in complex heminephrectomy for horseshoe kidney, enhancing anatomical clarity, aiding vessel preservation, and minimizing risk to remaining renal issue.
Urologic Surgery, Horsehoe Kidney, ICG (indocyanine green)

See more at: https://vattikutifoundation.com/videos/