Ureteral injury during laparoscopically assisted radical vaginal hysterectomy.
We report on a case of ureteral injury during laparoscopically radical hysterectomy to treat a patient with a stage IA2 carcinoma of the uterine cervix. The advantage of laparoscopically radical hysterectomy is the prevention of the identification and dissecting of the ureter from a vaginal approach, the main problem in the Schauta technique. However, ureteral injury may still occur while resecting the cardinal ligament without good visualization of the ureter during a vaginal procedure. Because the ureter was well identified and freed laparoscopically, a vaginal approach after uterine removal may be an option for treatment. Moreover, using the ureteral stent as a marker during a modified Schauta technique is helpful in the prevention of ureteral injury during laparoscopically assisted radical vaginal hysterectomy.
Lee
C L
CL
Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Chang Gung Medical School, Linkou Medical Center, Taipei, Taiwan.
Huang
K G
KG
Lai
Y M
YM
Lai
C H
CH
Soong
Y K
YK
D000328:Adult; D005260:Female; D006801:Humans; D007045:Hysterectomy, Vaginal / Q000009:adverse effects* / Q000379:methods; D010535:Laparoscopy / Q000009:adverse effects*; D009367:Neoplasm Staging; D016896:Treatment Outcome; D014513:Ureter / Q000293:injuries*; D002583:Uterine Cervical Neoplasms / Q000473:pathology / Q000601:surgery*