AYDIN ŞENCAN
Çocuk Cerrahisi Dergisi - 2023;37(2):53-60
Recently, fluorescent guided surgical procedures have been increasingly used in pediatric surgery and urology. This method is based on the principle that fluorochrome molecules produce radiation at a different wavelength when exposed to laser or near-infrared light of a certain wavelength. Thus, both the vascularization - perfusion of the tissues can be evaluated and the contrast difference in the tissue allows tissues to be distinguished. Today, fluorescent guided surgical procedures are performed with indocyanine green (ICG) and nearinfrared fluorescence (NIRF) imaging systems. This technology is used for various purposes such as determining the intersegmental planes of lungs during the operation, imaging the bile ducts, determining the borders of tumors, metastases, and ischemic tissue, evaluating the perfusion of the anastomotic lines. Many surgical procedures are performed more safely and quickly owing to ICG/NIRF imaging. The aim of this article is to summarize the basic features of the ICG/NIRF imaging method, use in pediatric surgery and urology, advantages, limitations, and our experimental experience on this subject in the light of the literature.
