Laparoscopic Ureteroureteral Anastomosis for Distal Ureteral Injuries during Gynecologic Laparoscopic Surgery

Choi, Kyung Mi; Choi, Joong Sub; Lee, Jung Hun; Lee, Kyo Won; Park, Seon Hye; Park, Moon Il

doi:10.1016/j.jmig.2010.03.002

« Previous Next »The Journal of Minimally Invasive Gynecology
Volume 17, Issue 4 , Pages 468-472, July 2010

Laparoscopic Ureteroureteral Anastomosis for Distal Ureteral Injuries during Gynecologic Laparoscopic Surgery

Kyung Mi Choi, MD
- Department of Obstetrics and Gynecology, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea
Joong Sub Choi, MD, PhD
- Department of Obstetrics and Gynecology, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea
- Corresponding author: Professor Joong Sub Choi, MD, PhD, Division of Gynecologic Oncology and Gynecologic Minimally Invasive Surgery, Department of Obstetrics and Gynecology, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, 108 Pyung-dong Jongno-gu, Seoul 110-746 South Korea.
Jung Hun Lee, MD, PhD
- Department of Obstetrics and Gynecology, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea
Kyo Won Lee, MD, PhD
- Department of Obstetrics and Gynecology, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea
Seon Hye Park, MD, PhD
- Department of Obstetrics and Gynecology, College of Medicine, Hanyang University, Seoul, Korea
Moon Il Park, MD, PhD
- Department of Obstetrics and Gynecology, College of Medicine, Hanyang University, Seoul, Korea

Received 21 October 2009; accepted 6 March 2010. published online 26 May 2010.

Abstract

Study Objective

To estimate the feasibility and surgical outcomes of laparoscopic ureteroureteral for treatment of distal ureteral injuries.

Design

Retrospective clinical study (Canadian Task Force classification II-2).

Setting

University teaching hospital.

Patients

Four women with ureteral transection or ureterovaginal fistula.

Intervention

Laparoscopic ureteroureteral .

Measurements and Main Results

Median age of patients was 44 (range, 33–63) years, and median operating time was 110 (range, 85–150) minutes. There were no conversions to laparotomy. No intraoperative or postoperative complications occurred. Follow-up ranged from 20 to 46 months. All patients have been asymptomatic, and follow-up intravenous pyelograms and ultrasound examinations have been normal.

Conclusion

Laparoscopic ureteroureteral anastomosis is an alternative surgical option in women with distal ureteral injuries during gynecologic laparoscopic surgery.

Keywords: Anastomosis, Complication, Gynecology, Laparoscopic surgery, Ureter