Journal
TECHNIQUES IN COLOPROCTOLOGY
Volume 21, Issue 6, Pages 413-424Publisher
SPRINGER-VERLAG ITALIA SRL
DOI: 10.1007/s10151-017-1641-9
Keywords
taTME; Urethral identification; Infrared imaging; ICG
Categories
Funding
- ConMed, Inc.
- Applied Medical, Inc.
- THD America
- Kawasaki Robotics, Inc.
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The risk of urethral injury during transanal total mesorectal excision (taTME) is delineated, and potential risk factors for iatrogenic transection are reviewed. A variety of applied and theoretical techniques can be used by surgeons to diminish the risk of injury in males undergoing this operation. Many of the approaches utilize non-optic media and wavelengths beyond the visible light spectrum which can enhance the surgeon's frame of reference. The aim of the present study was to assess the techniques and theoretical approaches to urethral localization during taTME. Future directions in surgical imaging are also discussed, including the use of organic dyes, quantum dots, and carbon nanotubes; collectively, technology that could someday provide surgeons with an ability to identify anatomic structures prone to injury.
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