{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T19:22:31Z","timestamp":1790709751027,"version":"4.1.0"},"reference-count":23,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2020,11,5]],"date-time":"2020-11-05T00:00:00Z","timestamp":1604534400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Colorectal Disease"],"published-print":{"date-parts":[[2021,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>Up to 10% of patients who undergo nonurological abdominopelvic operations suffer a ureteral injury. While preoperative ureteral stenting to facilitate identification of the ureter is common, it does not reduce the incidence of intraoperative ureteral injury and is not without risk. As we continue to broaden the application of minimally invasive surgical techniques, a new form of ureteral identification and avoidance that does not rely on tactile feedback is needed. We report our initial experience with intraureteral indocyanine green (ICG) for ureteral identification and avoidance during complex robotic\u2010assisted colorectal surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>Patients undergoing adjunctive ureteral identification during robotic\u2010assisted colorectal surgery were prospectively identified. Each patient underwent intraureteral ICG administration using rigid cystoscopy (22 Fr). A 5\u2010Fr open\u2010ended ureteral catheter was inserted up to 20\u00a0cm and used to inject 5\u00a0ml of 2.5\u00a0mg\/ml ICG as the catheter was withdrawn to the ureteral orifice. Intraureteral ICG was then detected using near\u2010infrared laser fluorescence technology (Firefly\u00ae).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Successful ICG\u2010enhanced ureteral identification and avoidance was performed in 15 of 16 (94%) patients undergoing robotic\u2010assisted colorectal surgery. The median ICG instillation time was 11.5\u00a0min (range 4\u201321\u00a0min) and the median operative time with ICG visualization was 489\u00a0min (8\u00a0h 9\u00a0min) [range 268\u2013738\u00a0min (4\u00a0h 28\u00a0min\u201312\u00a0h 18\u00a0min)]. No patient experienced intraoperative ureteral injury and there were no adverse sequelae or complications associated with intraureteral ICG administration.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Intraureteral ICG is a safe and effective method of intraoperative ureteral identification and avoidance during complex robotic\u2010assisted colorectal surgery. Precise and prolonged ureteral visualization was achieved, allowing for long operative times compatible with complex robotic\u2010assisted operations.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/codi.15407","type":"journal-article","created":{"date-parts":[[2020,10,16]],"date-time":"2020-10-16T16:57:51Z","timestamp":1602867471000},"page":"718-723","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":72,"title":["Intraureteral indocyanine green augments ureteral identification and avoidance during complex robotic\u2010assisted colorectal surgery"],"prefix":"10.1111","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3606-6429","authenticated-orcid":false,"given":"Lindsay A.","family":"White","sequence":"first","affiliation":[{"name":"Department of Urology Mayo Clinic  Rochester Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jason P.","family":"Joseph","sequence":"additional","affiliation":[{"name":"Department of Urology Mayo Clinic  Rochester Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David Y.","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Urology Mayo Clinic  Rochester Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Scott R.","family":"Kelley","sequence":"additional","affiliation":[{"name":"Division of Colon and Rectal Surgery Department of Surgery Mayo Clinic  Rochester Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kellie L.","family":"Mathis","sequence":"additional","affiliation":[{"name":"Division of Colon and Rectal Surgery Department of Surgery Mayo Clinic  Rochester Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevin","family":"Behm","sequence":"additional","affiliation":[{"name":"Division of Colon and Rectal Surgery Department of Surgery Mayo Clinic  Rochester Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Boyd R.","family":"Viers","sequence":"additional","affiliation":[{"name":"Department of Urology Mayo Clinic  Rochester Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,11,5]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/DCR.0000000000000033"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0030-1254297"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1080\/00365590802025857"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ucl.2005.11.005"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.2011.2029"},{"issue":"4","key":"e_1_2_11_7_1","first-page":"184","article-title":"Ureteric injuries in Enugu, Nigeria","volume":"76","author":"Aghaji AE","year":"1999","journal-title":"East Afr Med 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