Ureteral transection repaired during robot-assisted surgery
- 120 Downloads
During robot-assisted surgery for endometrial cancer, a ureteral injury occurred in two women. Both injuries were repaired successfully with robot-assisted surgery. One of the injuries and its repair are shown in an edited video clip. Ureteral injury is a known complication of gynecologic surgery (Hoffman in OBG Manag 20:16–28, 2008). Transection of the pelvic ureter proximal to the parametrium may be repaired by reapproximation or reimplantation. Robot-assisted surgery has recently been established as useful for the performance of ureteral surgery (Kasturi et al. in Urology 79:680–683, 2012; Rehman et al. in Can J Urol 18:5548–5556, 2011; Patil et al. in Urology 72:47–50, 2008).
KeywordsInjury Robotic Surgery Ureteral
Conflict of interest
None of the authors has a conflict of interest.
Written informed consent was obtained from the patient for publication of this Case Report and any accompanying images. A copy of the written consent is available for review by the Editor-in-Chief of this journal.
Incorrect identification of the gonadal vessels resulted in thermal and transaction injury of the left mid-ureter. A stent is passed, the thermal damage is resected, and the injury is repaired with interrupted suture. Supplementary material 1 (MPG 18805 kb)
- 1.Hoffman MS (2008) How to safeguard the ureter and repair surgical injury. OBG Management 20(11):16–28Google Scholar
- 2.Kasturi S, Sehgal SS, Christman MS, Lambert SM, Casale P (2012) Prospective long-term analysis of nerve-sparing extravesical robotic-assisted laparoscopic ureteral reimplantation. Urology 79:680–683Google Scholar