Journal of Robotic Surgery

, Volume 7, Issue 1, pp 81–82 | Cite as

Ureteral transection repaired during robot-assisted surgery

  • Mitchel S. HoffmanEmail author
  • Michael Finan
Case Report


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).


Injury Robotic Surgery Ureteral 


Conflict of interest

None of the authors has a conflict of interest.

Consent section

Written informed consent was obtained from the patient for publication of this Case Report and any accompanying images. A copy of the written consent is available for review by the Editor-in-Chief of this journal.

Supplementary material

Incorrect identification of the gonadal vessels resulted in thermal and transaction injury of the left mid-ureter. A stent is passed, the thermal damage is resected, and the injury is repaired with interrupted suture. Supplementary material 1 (MPG 18805 kb)


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Copyright information

© Springer-Verlag London Ltd 2012

Authors and Affiliations

  1. 1.Department of Obstetrics and Gynecology, Division of Gynecologic OncologyUniversity of South FloridaTampaUSA
  2. 2.Ochsner ClinicNew OrleansUSA

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