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Related Experiment Videos

[The ureteric risk in laparoscopic surgery].

Frédéric Adhoute1, Jean-Louis Pariente, Michel Le Guillou

  • 1Service d'Urologie, CHU Pellegrin, Bordeaux, France.

Progres En Urologie : Journal De L'Association Francaise D'Urologie Et De La Societe Francaise D'Urologie
|March 9, 2005
PubMed
Summary

Iatrogenic ureteric lesions after laparoscopic surgery are often linked to surgical inexperience. Delayed diagnosis significantly impacts treatment outcomes and the need for reoperation.

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Risk Factors of Early Kidney Graft Transplantectomy.

Transplantation proceedings·2019

Area of Science:

  • Urology
  • Minimally Invasive Surgery
  • Surgical Complications

Context:

  • Iatrogenic ureteric injuries are a recognized complication of laparoscopic surgery.
  • These injuries can arise from various surgical specialties, including gynecology, gastrointestinal, vascular, and spinal procedures.

Purpose:

  • To detail the development, diagnosis, and management strategies for iatrogenic ureteric lesions following laparoscopic procedures.
  • To analyze the factors contributing to these injuries and their treatment outcomes.

Summary:

  • A review of nine patients treated for iatrogenic ureteric trauma post-laparoscopic surgery between 1992 and 2003.
  • Injuries were most common after gynecological procedures (56%). Diagnosis times varied widely (0-640 days).
  • Intraoperative diagnoses led to immediate successful treatment. Secondary diagnoses had lower success rates with initial endourological treatment (25% without reoperation), often requiring further intervention.

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Impact:

  • Highlights the critical role of surgical experience and intraoperative vigilance in preventing ureteric injuries.
  • Emphasizes that timely diagnosis is paramount for successful management and minimizing the need for complex reoperations or nephrectomy.