Robotic-assisted resection of parametrial endometriosis with ureterolysis of a medially distorted ureter using indocyanine green and near-infrared fluorescence

Philippe Van Trappen, Gaby Moawad, Christophe Ghysel, Harm Arentsen, H.C. Arentsen
Journal of surgical case reports · 2025 · vol. 2026(1) , pp. rjaf1064 · doi:10.1093/jscr/rjaf1064 · PMID:41523216 · W7119521058
article OA: gold CC0
🔓 Open OA copy View on OpenAlex View on PubMed View at publisher
⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

This study describes a robotic-assisted surgical technique using indocyanine green fluorescence to resect parametrial endometriosis and perform ureterolysis on a medially distorted ureter.

One-sentence paraphrase of the abstract; not a substitute for reading it. No clinical advice. How this works

Abstract

Deep infiltrating endometriosis (DIE) is a severe form of endometriosis, with endometriotic implants that can invade several anatomical structures. The urinary tract is the second most common site for deep endometriosis with ureteral endometriosis (UE) the most challenging to manage. Multidisciplinary surgery along with hormonal therapy is the corner stone for the treatment of DIE. Here we describe, with a video, a surgical technique using robotic-assisted surgery along with retrograde injection of indocyanine green (ICG) in the ureter for resection of parametrial endometriosis and ureterolysis using near-infrared fluorescence. The case was a 29-year-old nullipara with a history of severe dysmenorrhea and chronic pelvic pain. The patient was discharged after 48 hrs. The advantages of robotic surgery and the use of ICG in the ureter, in selected cases with UE, enables careful ureterolysis as ICG can even be absorbed in the ureteral mucosa/wall when no stent is left behind during surgery.

My notes (saved in your browser only)

Condition tags

endometriosisdie_deep_infiltratingchronic_pelvic_paindysmenorrhea

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (9)

Source provenance

europepmc
last seen: 2026-06-04T01:30:01.192114+00:00
openalex
last seen: 2026-06-10T17:14:06.276822+00:00
pmc
last seen: 2026-05-13T20:22:03.195721+00:00
pubmed
last seen: 2026-05-27T00:30:31.317476+00:00
License: CC0 · commercial use OK