Laparoscopic ureteroureteral anastomosis for distal ureteral injuries during gynecologic laparoscopic surgery.
OBJECTIVE
To estimate the feasibility and surgical outcomes of laparoscopic ureteroureteral for treatment of distal ureteral injuries.


METHODS
Retrospective clinical study (Canadian Task Force classification II-2).


METHODS
University teaching hospital.


METHODS
Four women with ureteral transection or ureterovaginal fistula.


METHODS
Laparoscopic ureteroureteral .


RESULTS
Median age of patients was 44 (range, 33-63) years, and median operating time was 110 (range, 85-150) minutes. There were no conversions to laparotomy. No intraoperative or postoperative complications occurred. Follow-up ranged from 20 to 46 months. All patients have been asymptomatic, and follow-up intravenous pyelograms and ultrasound examinations have been normal.


CONCLUSIONS
Laparoscopic ureteroureteral anastomosis is an alternative surgical option in women with distal ureteral injuries during gynecologic laparoscopic surgery.
Choi
Kyung Mi
KM
Department of Obstetrics and Gynecology, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea.
Choi
Joong Sub
JS
Lee
Jung Hun
JH
Lee
Kyo Won
KW
Park
Seon Hye
SH
Park
Moon Il
MI
D000328:Adult; D000714:Anastomosis, Surgical; D005240:Feasibility Studies; D005260:Female; D013509:Gynecologic Surgical Procedures; D006801:Humans; D007431:Intraoperative Complications; D010535:Laparoscopy; D008875:Middle Aged; D012189:Retrospective Studies; D014513:Ureter / Q000293:injuries* / Q000601:surgery*; D014548:Urinary Fistula / Q000209:etiology / Q000601:surgery; D014624:Vaginal Fistula / Q000209:etiology / Q000601:surgery