Ureteral transection repaired during robot-assisted surgery
Mitchel S Hoffman1, Michael Finan2
1Department of Obstetrics and Gynecology, Division of Gynecologic Oncology, University of South Florida, 2 Tampa General Circle, 6th Floor, Tampa, FL, 33606, USA. asanche3@health.usf.edu.
Abstract:
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).
