Accurate identification of the ureter is a fundamental component of safe pelvic and abdominal surgery. Indocyanine Green (ICG) fluorescence combined with near-infrared imaging provides an advanced method that can help visualize the ureteral pathway during selected laparoscopic and robotic procedures.

At World Laparoscopy Hospital, this technique is presented in the context of advanced minimal access surgery training. The demonstration explains how fluorescence imaging can be incorporated into operative planning and intraoperative anatomical identification, particularly in situations where normal tissue planes are difficult to recognize.

ICG fluorescence may be considered in complex cases involving dense adhesions, altered pelvic anatomy, previous surgical procedures, endometriosis, extensive pelvic dissection, or large pathological lesions. Under near-infrared visualization, the fluorescent signal can provide additional anatomical information to complement direct visualization and careful dissection.

The training content covers the concept of ICG-based ureter localization, the role of near-infrared technology, important procedural considerations, and the practical interpretation of fluorescence during minimally invasive surgery. The technique should be regarded as an adjunct rather than a replacement for sound anatomical knowledge, direct visualization, and established methods of protecting the ureter.

This educational video is particularly relevant for laparoscopic surgeons, gynecologists, robotic surgeons, fellows, and trainees seeking to understand the role of fluorescence technology in modern minimally invasive surgery. World Laparoscopy Hospital continues to demonstrate advanced surgical technologies as part of structured training in laparoscopic and robotic procedures.