Journal Basic Info
- Impact Factor: 1.995**
- H-Index: 8
- ISSN: 2474-1647
- DOI: 10.25107/2474-1647
Major Scope
- Vascular Surgery
- Urology
- Transplant Surgery
- Thoracic Surgery
- Surgical Oncology
- Orthopaedic Surgery
- Robotic Surgery
- Plastic Surgery
Abstract
Citation: Clin Surg. 2016;1(1):1111.Case Report | Open Access
Intraoperative use of Indocyanine Green to Confirm Perfusion of Remnant Tissue in Cortical-Sparing Retroperitoneoscopic Adrenalectomy
Long KL, Graham PH, Grubbs EG, Lee JE and Perrier ND
Department of Surgical Endocrinology, University of Texas MD Anderson Cancer Center, USA
*Correspondance to: Kristin L. Long
PDF Full Text DOI: 10.25107/2474-1647.1111
Abstract
A 53-year old male was diagnosed with bilateral pheochromocytomas after abdominal imaging revealed bilateral adrenal masses. Elevated serum catecholamines confirmed a pheochromocytoma, MIBG scan identified bilateral isotope uptake and genetic testing revealed a TMEM 127 mutation. Antihypertensive catecholamine-blocking medication was initiated. Given the desire to retain adequate cortical function, selective resection with a left total adrenalectomy and a cortical-sparing right sided adrenalectomy was planned via a retroperitoneoscopic approach. Intraoperatively, fluorescent indocyanine green was utilized to confirm perfusion to the right-sided adrenal remnant prior to proceeding with a left-sided total resection. This case exemplifies a method of intraoperative confirmation of cortex perfusion that enhances laparoscopic cortical-sparing adrenalectomy.
Keywords
Adrenal; Retroperitoneoscopic; Indocyanine green; Cortical-Sparing
Cite the article
Long KL, Graham PH, Grubbs EG, Lee JE, Perrier ND. Intraoperative use of Indocyanine Green to Confirm Perfusion of Remnant Tissue in Cortical-Sparing Retroperitoneoscopic Adrenalectomy. Clin Surg. 2016; 1: 1111.