title: Lighted ureteral stents in laparoscopic colorectal surgery; a five-year experience.
abstract: BACKGROUND
  Ureteral injuries during colorectal surgery are a rare event, ranging in the literature from 0.28-7.6%. Debate surrounds the use of prophylactic lighted ureteral stents to help protect the ureter during laparoscopic surgery. It has been suggested that they help to identify injuries but do not prevent them. The authors look to challenge this.
  
  
  METHODS
  Over 66 months, every laparoscopic or colectomy involving ureteral stents was recorded. Researchers documented any injury to the ureter intraoperatively. The chart was also reviewed for the complications of urinary tract infection (UTI) and urinary retention post-operatively.
  
  
  RESULTS
  During the 66 months, 402 laparoscopic colon resections were done. There were no ureteral injuries. The lighted ureteral stent was identified during every case in the effort to prevent injury during dissection and resection. No catheter associated UTIs were identified, while 14 (3.5%) suffered from post-operative urinary retention.
  
  
  CONCLUSIONS
  The authors of this study present a large series of colon resections with no intraoperative ureteral injuries. In addition, these catheters were not associated with any UTIs and a rate of urinary retention similar to that of the at large data. This series provides compelling data to use lighted ureteral stents during laparoscopic colon surgery.
authors.affiliation: Monmouth Medical Center, Long Branch, NJ, USA.
authors.forename: William P
authors.initials: WP
authors.lastname: Boyan
authors.affiliation: Monmouth Medical Center, Long Branch, NJ, USA.
authors.forename: Daniel
authors.initials: D
authors.lastname: Lavy
authors.affiliation: Monmouth Medical Center, Long Branch, NJ, USA.
authors.forename: Anthony
authors.initials: A
authors.lastname: Dinallo
authors.affiliation: Monmouth Medical Center, Long Branch, NJ, USA.
authors.forename: Javier
authors.initials: J
authors.lastname: Otero
authors.affiliation: Seton Hall University, South Orange, NJ, USA.
authors.forename: Annelie
authors.initials: A
authors.lastname: Roding
authors.affiliation: Monmouth Medical Center, Long Branch, NJ, USA.
authors.forename: Dustin
authors.initials: D
authors.lastname: Hanos
authors.affiliation: Monmouth Medical Center, Long Branch, NJ, USA.
authors.forename: Roy
authors.initials: R
authors.lastname: Dressner
authors.affiliation: Monmouth Medical Center, Long Branch, NJ, USA.
authors.forename: Michael
authors.initials: M
authors.lastname: Arvanitis
keywords: Laparoscopic colorectal surgery; colon cancer; minimally invasive surgery; ureteral injury; ureteral stents