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

Ziho Lee, Joshua Kaplan, Laura Giusto, Daniel Eun*

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

29 Scopus citations

Abstract

Iatrogenic ureteral injuries, more than half of which occur during gynecologic surgery, may have devastating consequences for both patients and physicians. Gynecologists have employed various techniques such as cystoscopy, ureteral stents, and lighted ureteral stents to prevent ureteral injuries. The emergence and increasing prevalence of robotic surgery necessitates that we not only reevaluate the utility of these techniques, but also develop new ones specific for the robotic modality. In the robotic setting, the surgeon lacks tactile feedback and must rely primarily on visual cues. The use of intraureteral indocyanine green and subsequent visualization under near-infrared fluorescence appears to be a promising technique to primarily and secondarily prevent ureteral injuries during robotic gynecologic surgery.

Original languageEnglish (US)
Pages (from-to)566-571
Number of pages6
JournalAmerican journal of obstetrics and gynecology
Volume214
Issue number5
DOIs
StatePublished - May 1 2016
Externally publishedYes

Keywords

  • gynecology
  • indocyanine green
  • injuries
  • robotic surgical procedures
  • ureter

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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