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

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

References

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