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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
  • 120 Downloads

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).

Keywords

Injury Robotic Surgery Ureteral 

Notes

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)

References

  1. 1.
    Hoffman MS (2008) How to safeguard the ureter and repair surgical injury. OBG Management 20(11):16–28Google Scholar
  2. 2.
    Kasturi S, Sehgal SS, Christman MS, Lambert SM, Casale P (2012) Prospective long-term analysis of nerve-sparing extravesical robotic-assisted laparoscopic ureteral reimplantation. Urology 79:680–683Google Scholar
  3. 3.
    Rehman J, Sangalli MN, Guru K, de Naeyer G, Schatteman P, Carpentier P, Mottrie A (2011) Total intracorporeal robot-assisted laparoscopic ileal conduit (Bricker) urinary diversion: technique and outcomes. Can J Urol 18:5548–5556PubMedGoogle Scholar
  4. 4.
    Patil NN, Mottrie A, Sundaram B, Patal VR (2008) Robot-assisted laparoscopic ureteral reimplantation with psoas hitch: a multi-institutional, multinational evaluation. Urology 72:47–50PubMedCrossRefGoogle Scholar

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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