دورية أكاديمية
أعرض في EDS

Novel ureteral navigation with a fluorescent catheter during hemi-hysterectomy in cloacal exstrophy

التفاصيل البيبلوغرافية
العنوان: Novel ureteral navigation with a fluorescent catheter during hemi-hysterectomy in cloacal exstrophy
المؤلفون: Toshihiko Watanabe, Takahiro Shimizu, Masaharu Mori, Yuki Yamamoto, Naoko Komatsuzaki, Toshiro Kimura, Kenji Sato, Masanori Hasegawa, Eri Tei, Hitoshi Hirakawa
المصدر: Journal of Pediatric Surgery Case Reports, Vol 84, Iss , Pp 102360- (2022)
بيانات النشر: Elsevier, 2022.
سنة النشر: 2022
المجموعة: LCC:Pediatrics
LCC:Surgery
مصطلحات موضوعية: Indocyanine green, ICG, Near-infrared ray catheter, Cloacal exstrophy, Children, Pediatrics, RJ1-570, Surgery, RD1-811
الوصف: [Purpose]: We used a near-infrared ray catheter (NIRC) in a child with cloacal exstrophy presenting with hematometra and assessed whether the NIRC could help with complicated adhesiolysis during hemi-hysterectomy in children. [Method]: A 6-French pig tail-type NIRC was inserted into the left ureter with guidance from a cystoscope. Laparoscopic hemi-hysterectomy with fluorescence observation was performed using the VISERA ELITE 2 system. [Result]: NIRC insertion into the left ureter was not as difficult as expected despite the eccentric position of the left ureter orifice. When we found an enlarged left uterus and fallopian tube, adhesion was extremely severe around them due to chronic inflammation caused by hematometra. When near-infrared rays were applied, a fluorescent ureteral catheter that emitted bright green excitation light was observed on the dorsal side of the enlarged left uterus and fallopian tube. Under ureteral navigation with an NIRC, dissection of the adhesions was performed safely and smoothly. Hemi-hysterectomy and adnexectomy were performed successfully. The patient was doing well 2 years postoperatively without any complications. [Conclusion]: An NIRC can provide useful real-time visualization of the ureter course and reduce the risk of ureteral damage in children with advanced adhesions.
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 2213-5766
Relation: http://www.sciencedirect.com/science/article/pii/S2213576622001877; https://doaj.org/toc/2213-5766
DOI: 10.1016/j.epsc.2022.102360
URL الوصول: https://doaj.org/article/a12b3e50d08e4f969e414ef99302a2d9
رقم الأكسشن: edsdoj.12b3e50d08e4f969e414ef99302a2d9
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:22135766
DOI:10.1016/j.epsc.2022.102360