Ureteral injury during robotic-assisted laparoscopic radical prostatectomy: Case report

Year 2018, Volume: 13 Issue: 2, 66 - 69, 01.06.2018

Abdullah Hızır Yavuzsan , Selçuk Şahin , Taner Kargı İsmail Yiğitbaşı Volkan Tuğcu

Abstract

Ureteral injury during open, laparoscopic and especially robotic prostatectomy was
reported as a rare complication in series. Potential risk factors for such an injury include
excessive adhesions, previous prostate resection, difficult posterior dissection, enlarged
median lobes, previous pelvic surgeries and
pelvic radiation, and extended lymphadenectomy. While complete distal ureteral
injury, uretero-ureterostomy and ureteroneocystostomy may be regarded as standard
management for ureteral injury during robotic radical prostatectomy. We report on this
case of a right complete distal ureteral injury
which was successfully treated with ureteroureterostomy during robotic radical prostatectomy.

Keywords

ureteral injury , radical prostatectomy , robotic surgery , uretero-ureterostomy , ureteral reimplantation

Robot yardımlı laparoskopik radikal prostatektomi operasyonu esnasında gelişen üreter yaralanması: Olgu sunumu

Abstract

Üreter
yaralanması literatürde açık, la­paroskopik ve özellikle robotik radikal pros­tatektomi
esnasında nadir olarak bildirilen bir komplikasyondur. Bu gibi bir yaralanma
için risk faktörleri; aşırı adezyon, geçirilmiş prostat rezeksiyonu, zor
posterior diseksiyon, büyük median lob, geçirilmiş pelvik cerrahi ve pelvik
radyasyon ve genişletilmiş lenfade­nektomi yapılmasını içerir. Komplet distal
üreter yaralanması olduğunda, üretero-üre­terostomi ve üreteroneosistostomi
robotik radikal prostatektomi esnasındaki üreter ya­ralanması için standart
tedavi olarak kabul edilebilir. Biz bu olgumuzda robotik radikal prostatektomi
esnasında üretero-üreterosto­mi ile başarılı şekilde tedavi edilen sağ komp­letdistalüreter
yaralanmasını sunmaktayız.

Keywords

üreteral yaralanma , radikal prostatektomi , robotik cerrahi , üretero- üreterostomi , üreteral reimplantasyon

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