Intraoperative ICG-fluorescence imaging of ureteral defect: case report and literature review

Cover Page

Cite item

Full Text

Abstract

Iatrogenic ureteral injury is the most frequent trauma during pelvic surgery. Due to the peculiarities of this topographic region, assessment of ureteral wall perfusion is critical for prevention of ischemic complications.

In modern surgical practice, assessing local ureteral perfusion is often based on the surgeon’s subjective opinion. Intraoperative angiography with indocyanine green (indocyanine green, ICG) has been shown to be an adequate reflection of tissue perfusion and potentially influence the outcome of surgery.

Currently, there are insufficient data regarding the use of ICG in iatrogenic ureteral injury. In this article, we describe a successful ICG fluorescence-guided middle third ureteroplasty in a 92-year-old patient with uterine cancer who underwent a simple hysterectomy. We also review the literature on this topic. The literature search for the review was performed using the PubMed database.

Based on currently available data, the use of ICG for defect detection and control during ureteral resection is feasible and safe. However, the significance of this procedure should be evaluated in further studies.

About the authors

O. A. Smirnova

N.N. Petrov National Medical Research Center of Oncology, Ministry of Health of Russia

Author for correspondence.
Email: ssmirnova.oa@gmail.com
ORCID iD: 0000-0003-1140-6578

Olga Alekseevna Smirnova

68 Leningradskaya St., Pesochnyy Settlement, Saint Petersburg 197758

Russian Federation

D. I. Rumyantseva

N.N. Petrov National Medical Research Center of Oncology, Ministry of Health of Russia

ORCID iD: 0000-0002-8067-9150

68 Leningradskaya St., Pesochnyy Settlement, Saint Petersburg 197758

Russian Federation

Yu. N. Trifanov

N.N. Petrov National Medical Research Center of Oncology, Ministry of Health of Russia

ORCID iD: 0009-0008-3530-887X

68 Leningradskaya St., Pesochnyy Settlement, Saint Petersburg 197758

Russian Federation

M. G. Yakovleva

N.N. Petrov National Medical Research Center of Oncology, Ministry of Health of Russia

ORCID iD: 0000-0002-1593-6771

68 Leningradskaya St., Pesochnyy Settlement, Saint Petersburg 197758

Russian Federation

S. A. Tyatkov

N.N. Petrov National Medical Research Center of Oncology, Ministry of Health of Russia

ORCID iD: 0000-0002-1877-8852

68 Leningradskaya St., Pesochnyy Settlement, Saint Petersburg 197758

Russian Federation

A. K. Nosov

N.N. Petrov National Medical Research Center of Oncology, Ministry of Health of Russia

ORCID iD: 0000-0003-3850-7109

68 Leningradskaya St., Pesochnyy Settlement, Saint Petersburg 197758

Russian Federation

I. V. Berlev

N.N. Petrov National Medical Research Center of Oncology, Ministry of Health of Russia

ORCID iD: 0000-0001-6937-2740

68 Leningradskaya St., Pesochnyy Settlement, Saint Petersburg 197758

Russian Federation

References

  1. Guerra F., Eugeni E., Patriti A. Real-time fluorescent angiography to assess bowel viability during laparoscopic surgery for acute small bowel obstruction. Ann R Coll Surg Engl 2020;102:468-9. doi: 10.1308/rcsann.2020.0018
  2. Dip F., Boni L., Bouvet M. et al. Consensus conference statement on the general use of nearinfrared fluorescence imaging and indocyanine green guided surgery: Results of a modified Delphi study. Ann Surg 2022;275:685-91. doi: 10.1097/SLA.0000000000004412
  3. Boni L., Fingerhut A., Marzorati A. et al. Indocyanine green fluorescence angiography during laparoscopic low anterior resection: Results of a case-matched study. Surg Endosc 2017;31:1836-40. doi: 10.1007/s00464-016-5181-6
  4. Frattini F., Lavazza M., Mangano A. et al. Indocyanine green- enhanced fluorescence in laparoscopic sleeve gastrectomy. Obes Surg 2015;25:949, 950. doi: 10.1007/s11695-015-1640-8
  5. Vignali A., Gianotti L., Braga M. et al. Altered microperfusion at the rectal stump is predictive for rectal anastomotic leak. Dis Colon Rectum 2000;43:76-82. doi: 10.1007/BF02237248
  6. Brandes S., Coburn M., Armenakas N., McAninch J. Diagnosis and management of ureteric injury: An evidence-based analysis. BJU Int 2004;94(3):277-89. doi: 10.1111/j.1464-410X.2004.04978.x
  7. Selzman A.A., Spirnak J.P. Iatrogenic ureteral injuries: A 20-year experience in treating 165 injuries. J Urology 1996;155(3):878-81. doi: 10.1016/s0022-5347(01)66332-8
  8. Delacroix S.E.Jr., Winters J.C. Urinary tract injures: Recognition and management. Clin Colon Rectal Surg 2010;23(2):104-12. doi: 10.1055/s-0030-1254297
  9. Tyritzis S.I., Wiklund N.P. Ureteral strictures revisited... trying to see the light at the end of the tunnel: A comprehensive review. J Endourol 2015;29(2):124-36. doi: 10.1089/end.2014.0522
  10. Manoucheri E., Cohen S.L., Sandberg E.M. et al. Ureteral injury in laparoscopic gynecologic surgery. Rev Obstet Gynecol 2012;5(2):106-11.
  11. Selli C., Turri F.M., Gabellieri C. et al. Delayed-onset ureteral lesions due to thermal energy: An emerging condition. Arch Ital Urol Androl 2014;86(2):152, 153. doi: 10.4081/aiua.2014.2.152
  12. Parpala-Sparman T., Paananen I., Santala M. et al. Increasing numbers of ureteric injuries after the introduction of laparoscopic surgery. Scand J Urol Nephrol 2008;42(5):422-7. doi: 10.1080/00365590802025857
  13. Engelsgjerd J.S., LaGrange C.A. Ureteral Injury. In: StatPearls. StatPearls Publishing, 2023.
  14. Elliott S.P., McAninch J.W. Ureteral injuries: External and iatrogenic. Urol Clin North Am 2006;33(1):55-66. doi: 10.1016/j.ucl.2005.11.005
  15. Abboudi H., Ahmed K., Royle J. et al. Ureteric injury: A challenging condition to diagnose and manage. Nat Rev Urol 2013;10(2):108-15. doi: 10.1038/nrurol.2012.254
  16. Halabi W.J., Jafari M.D., Nguyen V.Q. et al. Ureteral injuries in colorectal surgery: An analysis of trends, outcomes, and risk factors over a 10-year period in the United States. Dis Colon Rectum 2014;57(2):179-86. doi: 10.1097/DCR.0000000000000033
  17. Palaniappa N.C., Telem D.A., Ranasinghe N.E., Divino C.M. Incidence of iatrogenic ureteral injury after laparoscopic colectomy. Arch Surg 2012:147(3):267-71. doi: 10.1001/archsurg.2011.2029
  18. Dwivedi A., Chahin F., Agrawal S. et al. Laparoscopic colectomy vs. open colectomy for sigmoid diverticular disease. Dis Colon Rectum 2002;45(10):1309-15. doi: 10.1007/s10350-004-6415-6
  19. Ostrzenski A., Radolinski B., Ostrzenska K.M. A review of laparoscopic ureteral injury in pelvic surgery. Obstet Gynecol Survey 2003;58(12):794-9. doi: 10.1097/01.OGX.0000097781.79401.0B
  20. Reinhart M.B., Huntington C.R., Blair L.J. et al. Indocyanine green: Historical context, current applications, and future considerations. Surg Innov 2016;23:166-75. doi: 10.1177/1553350615604053
  21. Yamaguchi K., Abe T., Nakajima K. et al. Use of near-infrared imaging using indocyanine green associates with the lower incidence of postoperative complications for intestinal and mesenteric injury. Sci Rep 2021;11:23880. doi: 10.1038/s41598-021-03361-1
  22. Karliczek A., Harlaar N.J., Zeebregts C.J. et al. Surgeons lack predictive accuracy for anastomotic leakage in gastrointestinal surgery. Int J Colorectal Dis 2009;24:569-76. doi: 10.1007/s00384-009-0658-6
  23. Kashchenko V.A., Kamshilin A.A., Zaitsev V.V. et al. Possibilities of tissue perfusion assessment in abdominal surgery: integration into the intraoperative system of safety control points. N.I. Pirogov Russian Journal of Surgery = Khirurgiya. Zurnal im. N.I. Pirogova 2023;(9-2):33-42. (In Russ.). doi: 10.17116/hirurgia202309233
  24. Burks F.N., Santucci R.A. Management of iatrogenic ureteral injury. Ther Adv Urol 2014;6(3):115-24. doi: 10.1177/1756287214526767
  25. Schaafsma B.E., Mieog J.S., Hutteman M. et al. The clinical use of indocyanine green as a near-infrared fluorescent contrast agent for image-guided oncologic surgery. J Surg Oncol 2011;104(3): 323-32. doi: 10.1002/jso.21943
  26. Polom K., Murawa D., Rho Y.S. et al. Current trends and emerging future of indocyanine green usage in surgery and oncology: A literature review. Cancer 2011;117(21):4812-22. doi: 10.1002/cncr.26087
  27. Cwalinski T., Polom W., Marano L. et al. Methylene blue - current knowledge, fluorescent properties, and its future use. J Clin Med 2020;9(11):3538. doi: 10.3390/jcm9113538
  28. Nagaya T., Nakamura Y.A., Choyke P.L., Kobayashi H. Fluorescence-guided surgery. Front Oncol 2017;7:314. doi: 10.3389/fonc.2017.00314
  29. Xi L., Jiang H. Image-guided surgery using multimodality strategy and molecular probes. Wiley Interdiscip Rev Nanomed Nanobiotechnol 2016;8:46-60. doi: 10.1002/wnan.1352
  30. Reinhart M.B., Huntington C.R., Blair L.J. et al. Indocyanine green: Historical context, current applications, and future considerations. Surg Innov 2016;23:166-75. doi: 10.1177/1553350615604053
  31. Kitai T., Inomoto T., Miwa M., Shikayama T. Fluorescence navigation with indocyanine green for detecting sentinel lymph nodes in breast cancer. Breast Cancer 2005;12:211-5. doi: 10.2325/jbcs.12.211
  32. Mudunov A.M., Gelfand I.M., Kropotov M.A. et al. Improved diagnostics of “concealed” metastases in patients with cT1-2N0M0 oral squamous cell carcinoma. Opukholi golovy i shei = Head and Neck Tumors 2022;12(1):12-25. (In Russ.). doi: 10.17650/2222-1468-2022-12-1-12-25
  33. Concin N., Matias-Guiu X., Vergote I. et al. ESGO/ESTRO/ESP guidelines for the management of patients with endometrial carcinoma. Int J Gynecol Cancer 2021;31(1):12-39. doi: 10.1136/ijgc-2020-002230
  34. Khemworapong K., Jaishuen A., Srichaikul P. et al. The fluorescence imaging for laparoscopic and laparotomic endometrial sentinel lymph node biopsy (FILLES) trial: Siriraj gynecologic sentinel node of endometrial cancer (SiGN-En) study. J Surg Oncol 2023. doi: 10.1002/jso.27486
  35. Koh K.M.L., Ng Z.Y., Chin F.H.X. et al. Comparing surgical and oncological outcomes between indocyanine green (ICG) sentinel lymph node mapping with routine lymphadenectomy in the surgical staging of early-stage endometrioid endometrial cancer. Obstet Gynecol Int 2023;2023:9949604. doi: 10.1155/2023/9949604
  36. Ditto A., Ferla S., Martinelli F. et al. Real-time fluorescent ICG and 99m-Tc nanocolloid tracer navigation in bilateral sentinel lymph node mapping of vulvar cancer. J Minim Invasive Gynecol 2023;30(10):780, 781. doi: 10.1016/j.jmig.2023.07.004
  37. Da Silva Sa R., Von Ah Rodrigues R.F., Bugalho L.A. et al. Evaluation of the efficacy of using indocyanine green associated with fluorescence in sentinel lymph node biopsy. PloS One 2023;18(10):e0273886. doi: 10.1371/journal.pone.0273886
  38. Van Manen L., Handgraaf H.J.M., Diana M. et al. A practical guide for the use of indocyanine green and methylene blue in fluorescence-guided abdominal surgery. J Surg Oncol 2018;118:283-300. doi: 10.1002/jso.25105
  39. Jafari M.D., Wexner S.D., Martz J.E. et al. Perfusion assessment in laparoscopic left-sided/anterior resection (PILLAR II): A multi- institutional study. J Am Coll Surg 2015;220(1):82-92.e1. doi: 10.1016/j.jamcollsurg.2014.09.015
  40. Rausa E., Zappa M.A., Kelly M.E. et al. A standardized use of intraoperative anastomotic testing in colorectal surgery in the new millennium: is technology taking over? A systematic review and network meta-analysis. Tech Coloproctol 2019;23(7):625-31. doi: 10.1007/s10151-019-02034-6
  41. Tobis S., Knopf J.K., Silvers C.R. et al. Near infrared fluorescence imaging after intravenous indocyanine green: Initial clinical experience with open partial nephrectomy for renal cortical tumors. Urology 2012;79(4):958-64. doi: 10.1016/j.urology.2011.10.016
  42. Shah S.H., Movassaghi K., Skinner D. et al. Ureteroenteric strictures after open radical cystectomy and urinary diversion: The University of Southern California experience. Urology 2015;86(1):87-91. doi: 10.1016/j.urology.2015.03.014
  43. Anderson C.B., Morgan T.M., Kappa S. et al. Ureteroenteric anastomotic strictures after radical cystectomy - does operative approach matter? J Urol 2013;189(2):541-7. doi: 10.1016/j.juro.2012.09.034
  44. Ghuman A., Kavalukas S., Sharp S.P., Wexner S.D. Clinical role of fluorescence imaging in colorectal surgery - an updated review. Expert Rev Med Dev 2020;17:1277-83. doi: 10.1080/17434440.2020.1851191
  45. Siddighi S., Yune J.J., Hardesty J. Indocyanine green for intraoperative localization of ureter. Am J Obstet Gynecol 2014;211:436.e1, 436.e2. doi: 10.1016/j.ajog.2014.05.017
  46. Joh J.H., Park H.C., Han S.A., Ahn H.J. Intraoperative indocyanine green angiography for the objective measurement of blood flow. Ann Surg Treat Res 2016;90:279-86. doi: 10.4174/astr.2016.90.5.279
  47. Schulz T., Marotz J., Seider S. et al. Burn depth assessment using hyperspectral imaging in a prospective single center study. Burns 2022;48:1112-9. doi: 10.1016/j.burns.2021.09.010

Supplementary files

Supplementary Files
Action
1. JATS XML
Download

Copyright (c)


СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
Регистрационный номер и дата принятия решения о регистрации СМИ: серия ПИ № ФС 77 - 36991 от  21.07.2009.