Surgical Film Library-The Use of Lighted Ureteral Catheters in Difficult Minimally Invasive Gynecologic Oncologic Surgery

The Use of Lighted Ureteral Catheters in Difficult Minimally Invasive Gynecologic Oncologic Surgery

Video Transcription

Video Summary

This video demonstrates the use of infrared lighted ureteral catheters to enhance visualization of ureters during complex minimally invasive gynecologic-oncologic surgeries, reducing the risk of injury. Three cases are highlighted: recurrent endometrial cancer with robotic vaginectomy, a large pelvic mass from endometriated adenocarcinoma, and a challenging obese patient undergoing hysterectomy. Lighted stents allow clear identification of distal ureters despite difficult dissections, dense adhesions, radiation effects, or obesity. This technique aids safe tissue dissection near critical structures, helps sentinel lymph node biopsies, and ensures ureteral integrity, ultimately improving surgical outcomes and minimizing complications.

Asset Subtitle

Javier Mejia-Gomez, Canada

Meta Tag

Procedure Type Difficult pelvic surgery

Route MIS-Laparoscopic

Skill Level Expert

Surgical Location Pelvis

Keywords

MIS-Laparoscopic

Pelvis

Expert

Difficult pelvic surgery

infrared lighted ureteral catheters

ureter visualization

minimally invasive gynecologic-oncologic surgery

robotic vaginectomy

sentinel lymph node biopsy