MINI REVIEW article
Front. Surg.
Sec. Visceral Surgery
Volume 12 - 2025 | doi: 10.3389/fsurg.2025.1647010
This article is part of the Research TopicAdvancing Benign Surgery: Techniques, Outcomes, and Educational InnovationsView all 9 articles
Intraoperative, techniques in real-time ureteric navigation. A brief narrative review and a video vignette
Provisionally accepted
- 1The Royal London Hospital, London, United Kingdom
- 2Queen Mary University of London, London, United Kingdom
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Background: Intraoperative ureteric injury, a well-documented but avoidable adverse event in pelvic surgery, is sometimes associated with low surgical volume and inexperience of the surgeon. The current literature describes several techniques that can help surgeons identify and protect the ureter during pelvic dissection, especially during complex procedures or repeat surgeries. This narrative review aims to highlight and present the currently available techniques for intraoperative ureteric identification in colorectal surgery and showcase the use of Indocyanine Green (ICG) in real-time ureter identification using a video vignette.Methods: A literature search of the PubMed database was performed from inception until May 14, 2025, to identify relevant articles reporting on intraoperative ureteric navigation techniques in colorectal surgery. Articles were analysed if they described the application of a technique in colorectal surgical procedures to identify the ureter intraoperatively. Given the narrative nature of this review, a qualitative synthesis was conducted by identifying the key themes described. In a video, we demonstrate a case of laparoscopic Hartmann's reversal of how ICG can facilitate surgical steps and the outcomes of a challenging procedure.
Keywords: navigation, ureter identification, fluorescence-guided surgery, Indocyanine Green, Colorectal Surgery, Laparoscopy, Robotic surgery lthough more limited some RE-DO In addition, n during laparoscopic colorectal surgery training
Received: 14 Jun 2025; Accepted: 11 Aug 2025.
Copyright: © 2025 Jayasinghe, Butnari, HU and Thaha. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence:
Jayan Dewantha Jayasinghe, The Royal London Hospital, London, United Kingdom
Valentin Butnari, Queen Mary University of London, London, United Kingdom
Mohamed Adhnan Thaha, Queen Mary University of London, London, United Kingdom
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