Prevention of iatrogenic ureteral injuries during robotic gynecologic surgery: a review

Lee, Ziho; Kaplan, Joshua R.; Giusto, Laura; Eun, Daniel

doi:10.1016/j.ajog.2015.10.150

Cited by 48 publications

(16 citation statements)

References 33 publications

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“…The fluorescence can be visualised after approximately 5 min following the injection, lasting over 3 h. Because ICG fluorescence penetrates tissue, the entire course of the ureters can be precisely localised, even when the ureters are embedded in surrounding adipose or fibrotic tissue or are anatomically distorted. [ 36 ] There are two clinically relevant features for intraureteral ICG application, that must be taken into account. First of all, it is not yet approved by the FDA, so the surgeons must disclose that intraureteral ICG is an off-label use.…”

Section: Introductionmentioning

confidence: 99%

Key clinical applications for indocyanine green fluorescence imaging in minimally invasive colorectal surgery

Grosek

Tomažič

2020

J Min Access Surg

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Near-infrared indocyanine green (ICG) fluorescence imaging has gained solid acceptance over the last years, and rightly so, as this technology has so much to offer, especially in the field of minimally invasive surgery. Firm evidence from ongoing and future studies will hopefully transform many of the applications of ICG fluorescence into the standard of care for our patients. This review examines the current status of ICG fluorescence for assessment of bowel perfusion, lymphatic mapping as well as intraoperative localisation of ureter in light of the published academic literature in English.

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Section: Introductionmentioning

confidence: 99%

Key clinical applications for indocyanine green fluorescence imaging in minimally invasive colorectal surgery

Grosek

Tomažič

2020

J Min Access Surg

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“…This prevention is made by contrasting these structures (6,10) to blood vessels anatomy and their identification, allowing partial resection of solid organs or anastomosis in better vascularized spots, (6,7) however, the knowledge of this system is still incipient. Most studies published so far are small series or case reports.…”

Section: Introductionmentioning

confidence: 99%

Intraoperative near-infrared fluorescent imaging during robotic operations

Macedo

Schraibman

2016

Einstein (São Paulo)

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The intraoperative identification of certain anatomical structures because they are small or visually occult may be challenging. The development of minimally invasive surgery brought additional difficulties to identify these structures due to the lack of complete tactile sensitivity. A number of different forms of intraoperative mapping have been tried. Recently, the near-infrared fluorescence imaging technology with indocyanine green has been added to robotic platforms. In addition, this technology has been tested in several types of operations, and has advantages such as safety, low cost and good results. Disadvantages are linked to contrast distribution in certain clinical scenarios. The intraoperative near-infrared fluorescent imaging is new and promising addition to robotic surgery. Several reports show the utility of this technology in several different procedures. The ideal dose, time and site for dye injection are not well defined. No high quality evidence-based comparative studies and long-term follow-up outcomes have been published so far. Initial results, however, are good and safe.

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“…One possible drawback of intraureteral injection of ICG is its limitation for use in perfusion assessment due to subsequent low tissue contrast. It is also worth mentioning that the U.S. Food and Drug Administration (FDA) approval of ICG is limited for intravenous use; thus, it is imperative to disclose off-label intraureteral use 19) . Additional fluorescent substances have been studied for that purpose.…”

Section: Intraoperative Ureteral Injury Identificationmentioning

confidence: 99%

“…Subsequent visualization under NIR fluorescence may be used as a means of primary and secondary prevention of IUI. With regards to secondary prevention, full-thickness ureteral injuries cause readily apparent leakage of ICG into the surgical field [18][19][20] . One possible drawback of intraureteral injection of ICG is its limitation for use in perfusion assessment due to subsequent low tissue contrast.…”

Section: Intraoperative Ureteral Injury Identificationmentioning

confidence: 99%

Ureteral Injury During Colorectal Surgery: Two Case Reports and a Literature Review

Yellinek

Krizzuk

Nogueras

et al. 2018

J Anus Rectum Colon

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Abstract:Iatrogenic ureteral injury (IUI) is a dreaded complication of abdominopelvic surgery. Although rare, it is associated with severe consequences. This complication most commonly occurs during gynecological procedures but may also occur during colorectal surgeries. We present two cases of IUI in patients in whom the ureteric stents were electively placed. The first case was a 71-year-old male with no significant medical history. The patient underwent an elective laparoscopic sigmoidectomy for complicated diverticulitis. During the procedure, a proximal IUI occurred, and was recognized and repaired. The second case occurred in a 68-year-old male with a history of multiple complicated abdominal surgeries. The patient underwent a second redo low anterior resection for a long preanastomotic stricture. The IUI occurred in the right fibrosed presacral plane, approximately 3 cm proximal to the bladder. The ureter was reimplanted to the bladder during the same procedure. We will also present a literature review of IUI, including the risk factors, intraoperative prevention, and repair options.

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Prevention of iatrogenic ureteral injuries during robotic gynecologic surgery: a review

Cited by 48 publications

References 33 publications

Key clinical applications for indocyanine green fluorescence imaging in minimally invasive colorectal surgery

Key clinical applications for indocyanine green fluorescence imaging in minimally invasive colorectal surgery

Intraoperative near-infrared fluorescent imaging during robotic operations

Ureteral Injury During Colorectal Surgery: Two Case Reports and a Literature Review

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