Current Strategies to Prevent Iatrogenic Ureteral Injury During Colorectal Surgery.

Current Strategies to Prevent Iatrogenic Ureteral Injury During Colorectal Surgery. Surg Technol Int. 2018 Jun 01;32:119-124 Authors: Douissard J, Ris F, Morel P, Buchs NC Abstract Iatrogenic ureteral injuries are a source of major concern among surgeons performing colorectal procedures. Although they are uncommon, these lesions lead to severe morbidity and long-term functional disabilities, as well as an increase in mortality, hospital stay, and cost. The laparoscopic approach has gained popularity in the field of colorectal surgery and is associated with improved global postoperative outcomes. However, it is also considered to increase the risk of ureteral injury when compared to open surgery, especially during left colonic and rectal resections. To overcome these difficulties, surgical techniques have been improved over time through standardization of both open and laparoscopic procedures. However, these techniques are not infallible, and, in difficult cases, instrumental aids such as preoperative ureteral stenting may be used. To substitute the reduced haptic feedback in laparoscopic surgery, lighted stents have been developed. Unfortunately, prophylactic stenting, whether standard or lighted, is also associated with its own morbidity and its benefit-risk ratio remains highly controversial. To enhance the surgeon's visualization capabilities, augmented reality technologies have been developed. Near-infrared fluorescence and hyper...
Source: Surgical Technology International - Category: Surgery Tags: Surg Technol Int Source Type: research