Laparoscopic ureteroureteral anastomosis for distal ureteral injuries during gynecologic laparoscopic surgery
Kyung Mi Choi1, Joong Sub Choi, Jung Hun Lee
1Department of Obstetrics and Gynecology, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea.
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.
