Real-Time Near-Infrared ICG Fluorescence Ureterography in Complex Rectal Resections: A Report of Two Cases

Real-Time Near-Infrared ICG Fluorescence Ureterography in Complex Rectal Resections: A Report of Two Cases

Author Info

Corresponding Author
Srikanth Gadiyaram
Surgical Gastroenterology, Department of Surgical Gastroenterology and Minimally Invasive Surgery, Sahasra Hospital, Bangalore, India

A B S T R A C T

Iatrogenic ureteric injuries are a well-documented consequence of non-urological abdomino-pelvic surgeries. Colorectal resections for benign inflammatory diseases are associated with obliteration of the planes. In such situations, identifying and securing the ureter during laparoscopy is challenging due to the absence of tactile feedback. We describe the use of real-time near-infrared Indocyanine green (ICG) fluorescence guidance to avoid iatrogenic ureteric injuries during complex colorectal resections featuring extensive pelvic adhesions. The inert nature of ICG, its affinity for urothelium, ability to detect leaks, low cost, and convenience of use with real-time augmented images during surgery make real-time, near-infrared ICG fluorescence ureterography a crucial tool in a colorectal surgeon's armamentarium during complex colorectal surgery.

Article Info

Article Type
Case Report
Publication history
Received: Wed 29, Jun 2022
Accepted: Tue 12, Jul 2022
Published: Fri 22, Jul 2022
Copyright
© 2021 Srikanth Gadiyaram. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Hosting by Science Repository.
DOI: 10.31487/j.SCR.2022.07.05