the the you have to plan the use in uh about the indication of ICG, the call the cholecystectomy is the only pathology in which you have to use to inject the product in advance
the the you have to plan the use in uh about the indication of ICG, the call the cholecystectomy is the only pathology in which you have to use to inject the product in advance
if you haven't ICG system in your hospital, some colleagues prefer to perform a preoperative cholangio MRI to have a clear anatomy of the biliary tree to avoid complication
if you haven't ICG system in your hospital, some colleagues prefer to perform a preoperative cholangio MRI to have a clear anatomy of the biliary tree to avoid complication
Update Course 2021: THORACOTOMY VS VATS FOR OSTEO METS
▶Ep 1 · 0:23
clinicalICG is a soluble molecule that rapidly binds to albumin and is removed from circulation by the liver into bile juice↗
▶Ep 1 · 1:20
clinicalICG technology can be used in both laparoscopy (requiring special camera and optic) and robotic surgery with Da Vinci XI Firefly system↗
▶Ep 1 · 3:34
opinionICG technology helps reduce complications in laparoscopic cholecystectomy, particularly beneficial for trainees and in centers with longer learning curves due to lower case volumes↗
▶Ep 1 · 3:34
epidemiologicalIn adult centers, surgeons perform 100 to 300 cholecystectomies per year compared to 10 to 30 per year in pediatric centers↗
▶Ep 1 · 3:34
quoteif you haven't ICG system in your hospital, some colleagues prefer to perform a preoperative cholangio MRI to have a clear anatomy of the biliary tree to avoid complication↗
▶Ep 1 · 4:40
clinicalICG vial contains 25 mg in 4 ml, diluted with 10 ml sterile water, with 6 ml injected intravenously for cholecystectomy↗
▶Ep 1 · 5:40
clinicalThe newer Rubin ICG system allows visualization in color with biliary tree appearing green, compared to older systems showing black and white images↗
▶Ep 1 · 6:40
quoteIn this way you can low to zero the complication for this reason I think is an amazing technology to adopt↗
▶Ep 1 · 7:15
clinicalFor cholecystectomy, ICG must be injected 12 to 15 hours preoperatively to allow secretion into bile juice for selective biliary tree visualization↗
▶Ep 1 · 7:51
clinicalFor all ICG indications except cholecystectomy (kidney, varicocele, lymphoma, tumors), the injection is given intraoperatively↗
▶Ep 1 · 7:51
clinicalIf ICG is injected intraoperatively for cholecystectomy, the liver takes up the dye and appears green, making gallbladder identification difficult↗
▶Ep 1 · 7:51
quotethe the you have to plan the use in uh about the indication of ICG, the call the cholecystectomy is the only pathology in which you have to use to inject the product in advance↗
▶Ep 1 · 8:20
quoteAfter 12 15 hours there is a secretion of ICG in the bile juice and you see selectively the biliary tree↗
▶Ep 1 · 8:42
clinicalFor elective cholecystectomy cases, patients are hospitalized the day before surgery for ICG injection in the late afternoon if surgery is scheduled early morning↗
▶Ep 1 · 9:34
clinicalIn duplex kidney with reflux, the two ureters are attached to each other, making identification of the normal ureter difficult without ICG↗
▶Ep 1 · 9:34
clinicalFor partial nephrectomy in duplex kidney, ICG is injected three times: via ureteral catheter to identify normal ureter, intravenously to visualize kidney vasculature, and intravenously again after vessel clipping to show devascularization line↗
▶Ep 1 · 17:30
clinicalPalomo varicocele repair has success rate of more than 97-98% but ligating lymphatics in the spermatic bundle causes postoperative hydrocele in about 20% of cases↗
▶Ep 1 · 17:30
clinicalThe spermatic bundle contains three to four lymphatic vessels↗
▶Ep 1 · 17:30
clinicalFor varicocele repair, intratesticular injection of 2 ml ICG solution allows intraoperative fluorescence lymphography to identify and spare lymphatic vessels↗
▶Ep 1 · 19:10
quotewe use this technique for more than 150 patients and we have zero seal in post-operative period↗
▶Ep 1 · 19:10
clinicalIn a series of more than 150 varicocele patients using ICG lymphatic sparing technique, there were zero postoperative hydroceles↗
▶Ep 1 · 21:24
clinicalICG vial remains usable for six hours after preparation↗
▶Ep 1 · 21:24
clinicalNo adverse effects of ICG were observed in the presenter's experience↗
▶Ep 1 · 21:53
clinicalThere is no maximum dose limit for ICG based on adult surgery studies↗
▶Ep 1 · 22:22
quoteThere are a great study performed from Jack Maresco at Irkad as fory and there is no limit for the dose that you can you can adopt↗
Update Course 2021: THORACOTOMY VS VATS FOR OSTEO METS
▶Ep 16 · 0:23
clinicalICG is a soluble molecule that rapidly binds to albumin and is removed from circulation by the liver into bile juice↗
▶Ep 16 · 1:20
clinicalICG technology can be used in both laparoscopy (requiring special camera and optic) and robotic surgery with Da Vinci XI Firefly system↗
▶Ep 16 · 3:34
quoteif you haven't ICG system in your hospital, some colleagues prefer to perform a preoperative cholangio MRI to have a clear anatomy of the biliary tree to avoid complication↗
▶Ep 16 · 3:34
opinionICG technology helps reduce complications in laparoscopic cholecystectomy, particularly beneficial for trainees and in centers with longer learning curves due to lower case volumes↗
▶Ep 16 · 3:34
epidemiologicalIn adult centers, surgeons perform 100 to 300 cholecystectomies per year compared to 10 to 30 per year in pediatric centers↗
▶Ep 16 · 4:40
clinicalICG vial contains 25 mg in 4 ml, diluted with 10 ml sterile water, with 6 ml injected intravenously for cholecystectomy↗
▶Ep 16 · 5:40
clinicalThe newer Rubin ICG system allows visualization in color with biliary tree appearing green, compared to older systems showing black and white images↗
▶Ep 16 · 6:40
quoteIn this way you can low to zero the complication for this reason I think is an amazing technology to adopt↗
▶Ep 16 · 7:15
clinicalFor cholecystectomy, ICG must be injected 12 to 15 hours preoperatively to allow secretion into bile juice for selective biliary tree visualization↗
▶Ep 16 · 7:51
clinicalIf ICG is injected intraoperatively for cholecystectomy, the liver takes up the dye and appears green, making gallbladder identification difficult↗
▶Ep 16 · 7:51
quotethe the you have to plan the use in uh about the indication of ICG, the call the cholecystectomy is the only pathology in which you have to use to inject the product in advance↗
▶Ep 16 · 7:51
clinicalFor all ICG indications except cholecystectomy (kidney, varicocele, lymphoma, tumors), the injection is given intraoperatively↗
▶Ep 16 · 8:20
quoteAfter 12 15 hours there is a secretion of ICG in the bile juice and you see selectively the biliary tree↗
▶Ep 16 · 8:42
clinicalFor elective cholecystectomy cases, patients are hospitalized the day before surgery for ICG injection in the late afternoon if surgery is scheduled early morning↗
▶Ep 16 · 9:34
clinicalIn duplex kidney with reflux, the two ureters are attached to each other, making identification of the normal ureter difficult without ICG↗
▶Ep 16 · 9:34
clinicalFor partial nephrectomy in duplex kidney, ICG is injected three times: via ureteral catheter to identify normal ureter, intravenously to visualize kidney vasculature, and intravenously again after vessel clipping to show devascularization line↗
▶Ep 16 · 17:30
clinicalFor varicocele repair, intratesticular injection of 2 ml ICG solution allows intraoperative fluorescence lymphography to identify and spare lymphatic vessels↗
▶Ep 16 · 17:30
clinicalPalomo varicocele repair has success rate of more than 97-98% but ligating lymphatics in the spermatic bundle causes postoperative hydrocele in about 20% of cases↗
▶Ep 16 · 17:30
clinicalThe spermatic bundle contains three to four lymphatic vessels↗
▶Ep 16 · 19:10
clinicalIn a series of more than 150 varicocele patients using ICG lymphatic sparing technique, there were zero postoperative hydroceles↗
▶Ep 16 · 19:10
quotewe use this technique for more than 150 patients and we have zero seal in post-operative period↗
▶Ep 16 · 21:24
clinicalNo adverse effects of ICG were observed in the presenter's experience↗
▶Ep 16 · 21:24
clinicalICG vial remains usable for six hours after preparation↗
▶Ep 16 · 21:53
clinicalThere is no maximum dose limit for ICG based on adult surgery studies↗
▶Ep 16 · 22:22
quoteThere are a great study performed from Jack Maresco at Irkad as fory and there is no limit for the dose that you can you can adopt↗
