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

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