Intraoperative ureteric visualisation in laparoscopic colorectal surgery

Title : Intraoperative ureteric visualisation in laparoscopic colorectal surgery

Abstract:

Laparoscopic approach is increasingly favoured for colorectal surgery in both elective and emergency settings in all over the world. However, due to lack of haptic feedback, learning curve and increasing demands for training makes laparoscopic surgery more vulnerable to injuries of the ureter especially during left colonic resections. Several evolving techniques to visualise and protect ureters during laparoscopic abdomino-pelvic surgery has described, including ureteric stents and different methods of fluorescence ureterography. This presentation is a narrative review of historical evolution of these techniques to visualise ureter during laparoscopic colorectal surgery, assess pros and cons of each.  Also, a novel technique on real-time ureteric visualisation presented by the author at recent scientific forum will be introduced to complete the presentation.

Biography:

Jayasinghe completed his undergraduate and postgraduate medical studies in Sri Lanka and moved to UK as an RCS-England international fellow in 2019. After completing a two-year advanced colorectal fellowship at Royal London hospital, he joined as a consultant surgeon to the same department and served for 3 years gaining further experience in both elective and emergency colorectal surgery, with special emphasis to minimal invasive surgery. he has obtained fellowships from the Royal college of surgeons of England, European board of surgery and is currently working as a consultant colorectal surgeon at Royal Lancaster infirmary. In addition to clinical care, he is actively involved in clinical research, led several NIHR research projects as principal and associate investigator, published several research articles in peer-reviewed journals and a GMC recognised clinical trainer for both undergraduate and postgraduate surgical trainees in UK.