Ureteral injury during laparoscopic rectal resection and concurrent laparoscopic repair by uretero-ureterostomy

Iatrogenic ureteral injury is an uncommon but severe complication of laparoscopic colorectal surgery. If it is detected intraoperatively, conversion to open surgery is usually inevitable. Here, we described a complete ureteral transection during laparoscopic low anterior resection, which was simulta...

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Autores principales:	Fatih Sumer, Gökalp Okut, Ramazan Kutlu, Mehmet Ali Yağcı, Cuneyt Kayaalp
Formato:	article
Lenguaje:	EN
Publicado:	Digital ProScholar Media 2021
Materias:	rectal cancer laparoscopic colorectal surgery ureteral injury laparoscopic ureteroureterostomy Medicine R
Acceso en línea:	https://doaj.org/article/18272b250df1402e9f378fbb2dd91d7d
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spelling	oai:doaj.org-article:18272b250df1402e9f378fbb2dd91d7d2021-11-23T16:39:36ZUreteral injury during laparoscopic rectal resection and concurrent laparoscopic repair by uretero-ureterostomy10.25083/2559.5555/6.2.162559-5555https://doaj.org/article/18272b250df1402e9f378fbb2dd91d7d2021-11-01T00:00:00Zhttps://www.e-repository.org/jcis/6/2/16.pdfhttps://doaj.org/toc/2559-5555Iatrogenic ureteral injury is an uncommon but severe complication of laparoscopic colorectal surgery. If it is detected intraoperatively, conversion to open surgery is usually inevitable. Here, we described a complete ureteral transection during laparoscopic low anterior resection, which was simultaneously repaired by laparoscopic uretero-ureterostomy. The most important points during the anastomosis of two tiny tubular tissues are dissecting the tubular organs without trauma, obtaining meticulous hemostasis without causing any necrosis, and achieving accurate approximation of tissues with the sutures. To the best of our knowledge, this is the first report that focused on laparoscopic repair of ureteral injury during laparoscopic colorectal surgery. As there are still few data on laparoscopic repair of ureteral lesions, no firm conclusions can be drawn. But, in appropriate cases, if intracorporeal suture expertise is available, laparoscopic repair can be done during colorectal surgery.Fatih SumerGökalp OkutRamazan KutluMehmet Ali YağcıCuneyt KayaalpDigital ProScholar Mediaarticlerectal cancerlaparoscopic colorectal surgeryureteral injurylaparoscopic ureteroureterostomyMedicineRENJournal of Clinical and Investigative Surgery, Vol 6, Iss 2, Pp 175-177 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	rectal cancer laparoscopic colorectal surgery ureteral injury laparoscopic ureteroureterostomy Medicine R
spellingShingle	rectal cancer laparoscopic colorectal surgery ureteral injury laparoscopic ureteroureterostomy Medicine R Fatih Sumer Gökalp Okut Ramazan Kutlu Mehmet Ali Yağcı Cuneyt Kayaalp Ureteral injury during laparoscopic rectal resection and concurrent laparoscopic repair by uretero-ureterostomy
description	Iatrogenic ureteral injury is an uncommon but severe complication of laparoscopic colorectal surgery. If it is detected intraoperatively, conversion to open surgery is usually inevitable. Here, we described a complete ureteral transection during laparoscopic low anterior resection, which was simultaneously repaired by laparoscopic uretero-ureterostomy. The most important points during the anastomosis of two tiny tubular tissues are dissecting the tubular organs without trauma, obtaining meticulous hemostasis without causing any necrosis, and achieving accurate approximation of tissues with the sutures. To the best of our knowledge, this is the first report that focused on laparoscopic repair of ureteral injury during laparoscopic colorectal surgery. As there are still few data on laparoscopic repair of ureteral lesions, no firm conclusions can be drawn. But, in appropriate cases, if intracorporeal suture expertise is available, laparoscopic repair can be done during colorectal surgery.
format	article
author	Fatih Sumer Gökalp Okut Ramazan Kutlu Mehmet Ali Yağcı Cuneyt Kayaalp
author_facet	Fatih Sumer Gökalp Okut Ramazan Kutlu Mehmet Ali Yağcı Cuneyt Kayaalp
author_sort	Fatih Sumer
title	Ureteral injury during laparoscopic rectal resection and concurrent laparoscopic repair by uretero-ureterostomy
title_short	Ureteral injury during laparoscopic rectal resection and concurrent laparoscopic repair by uretero-ureterostomy
title_full	Ureteral injury during laparoscopic rectal resection and concurrent laparoscopic repair by uretero-ureterostomy
title_fullStr	Ureteral injury during laparoscopic rectal resection and concurrent laparoscopic repair by uretero-ureterostomy
title_full_unstemmed	Ureteral injury during laparoscopic rectal resection and concurrent laparoscopic repair by uretero-ureterostomy
title_sort	ureteral injury during laparoscopic rectal resection and concurrent laparoscopic repair by uretero-ureterostomy
publisher	Digital ProScholar Media
publishDate	2021
url	https://doaj.org/article/18272b250df1402e9f378fbb2dd91d7d
work_keys_str_mv	AT fatihsumer ureteralinjuryduringlaparoscopicrectalresectionandconcurrentlaparoscopicrepairbyureteroureterostomy AT gokalpokut ureteralinjuryduringlaparoscopicrectalresectionandconcurrentlaparoscopicrepairbyureteroureterostomy AT ramazankutlu ureteralinjuryduringlaparoscopicrectalresectionandconcurrentlaparoscopicrepairbyureteroureterostomy AT mehmetaliyagcı ureteralinjuryduringlaparoscopicrectalresectionandconcurrentlaparoscopicrepairbyureteroureterostomy AT cuneytkayaalp ureteralinjuryduringlaparoscopicrectalresectionandconcurrentlaparoscopicrepairbyureteroureterostomy
_version_	1718416197335121920

Ureteral injury during laparoscopic rectal resection and concurrent laparoscopic repair by uretero-ureterostomy

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