Cystoscopic Indocyanine Green Injection in Robotic-Assisted Partial Cystectomy

This study presents the use of indocyanine green (ICG) fluorescence-guided robotic-assisted partial cystectomy in a pediatric patient with an inflammatory myofibroblastic tumor (IMT) of the bladder. The procedure involved cystoscopic injection of ICG around the tumor, enabling enhanced visualization of tumor margins using the Firefly near-infrared fluorescence (NIRF) feature of the da Vinci robot system. Following successful identification and excision of the tumor, pathology confirmed negative surgical margins. The patient was discharged on postoperative day one and will continue to be monitored with follow-up ultrasounds.