Surgical Film Library-Instillation of Dye into Ureters for Intra-operative Identification during Robotic Surgery for Gynecologic Malignancies

Instillation of Dye into Ureters for Intra-operative Identification during Robotic Surgery for Gynecologic Malignancies

Video Transcription

Video Summary

This video demonstrates the intraoperative use of ICG dye injected into ureters via a 5 French whistle tip catheter during robotic gynecologic cancer surgery. The dye enables clear near-infrared visualization of ureters, facilitating their identification and reducing injury risk. The technique simplifies dissection, shortens operative time by about 12 minutes, and aids in safely managing structures like the cardinal and utero-sacral ligaments. It is especially helpful in complex cases with adhesions or prior treatment. The approach allows safer lymph node dissection and minimizes ureteral manipulation, improving surgical outcomes in cancer and benign gynecologic procedures.

Asset Subtitle

Beverly Ortiz, United States

Meta Tag

Procedure Type Aortic Secondary Cytoreduction

Route MIS-Robotic

Skill Level Expert

Surgical Location Mid-abdomen

Keywords

MIS-Robotic

Mid-abdomen

Expert

Aortic Secondary Cytoreduction

ICG dye

ureter visualization

robotic gynecologic surgery

near-infrared imaging

ureteral injury prevention