26: Utilization of indocyanine green for ureteral identification with robotic firefly fluorescence imaging

The overall incidence of iatrogenic ureteral injuries caused during operative procedures varies from 0.5 to 5% and is most common during gynecological surgery. Ureteral injury can occur during open surgery, laparoscopy, or endoscopic procedures. Injury to the ureteral can result from devascularization, laceration and most iatrogenic ureteral injuries involve the pelvic ureter. Prevention before detection of a ureteral injury is critical. We present a step by step video of how to use indocyanine green to identify the ureter with robotic firefly fluorescence imaging. Utilization of indocyanine green with robotic firefly fluorescence imaging is an attractive option for ureteral identification.