Incidence of Iatrogenic Ureteral Injury After Laparoscopic Colectomy

Palaniappa, Nandini C.; Telem, Dana A.; Ranasinghe, Nalin E.; Divino, Celia M.

doi:10.1001/archsurg.2011.2029

Cited by 137 publications

(112 citation statements)

References 19 publications

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“…Open surgery revealed higher rates of IUI compared to laparoscopic surgery; however, as there was no patient stratification, open cases presumably represent more difficult procedures due to reoperations and adhesions 2) . In contrast, Palanniapa et al 4) from Mount Sinai Medical Center reviewed 5729 colectomies for IUI. Conversely, in their series, there was a statistically significant increase in IUI occurring after laparoscopic versus open procedures (0.66% vs. 0.15%, respectively; p = 0.007) 4) .…”

Section: Risk Factors For Ureteric Injurymentioning

confidence: 99%

“…In contrast, Palanniapa et al 4) from Mount Sinai Medical Center reviewed 5729 colectomies for IUI. Conversely, in their series, there was a statistically significant increase in IUI occurring after laparoscopic versus open procedures (0.66% vs. 0.15%, respectively; p = 0.007) 4) . Andersen et al 10) reviewed the Danish National Colorectal Cancer database (DCCG) with 18,474 patients following resection for colorectal cancer.…”

Section: Risk Factors For Ureteric Injurymentioning

confidence: 99%

“…Although rare, this serious complication may have serious adverse sequelae. Morbidity is reduced when the IUI is intraoperatively identified; unfortunately this occurs in only 15-30% of cases [1][2][3][4][5] . IUI most commonly occurs during gynecological procedures (0.075-1.7%), followed by colorectal procedures (0.25-1.1%).…”

Section: Introductionmentioning

confidence: 99%

“…IUI during colorectal surgery most frequently occurs during proctectomy (abdominoperineal resection and low anterior resection) and sigmoidectomy 6,7) . The injury can be due to laceration, devascularization, ligation, thermal injury, or resection [2][3][4][8][9][10] .…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Ureteral Injury During Colorectal Surgery: Two Case Reports and a Literature Review

Yellinek

Krizzuk

Nogueras

et al. 2018

J Anus Rectum Colon

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Abstract:Iatrogenic ureteral injury (IUI) is a dreaded complication of abdominopelvic surgery. Although rare, it is associated with severe consequences. This complication most commonly occurs during gynecological procedures but may also occur during colorectal surgeries. We present two cases of IUI in patients in whom the ureteric stents were electively placed. The first case was a 71-year-old male with no significant medical history. The patient underwent an elective laparoscopic sigmoidectomy for complicated diverticulitis. During the procedure, a proximal IUI occurred, and was recognized and repaired. The second case occurred in a 68-year-old male with a history of multiple complicated abdominal surgeries. The patient underwent a second redo low anterior resection for a long preanastomotic stricture. The IUI occurred in the right fibrosed presacral plane, approximately 3 cm proximal to the bladder. The ureter was reimplanted to the bladder during the same procedure. We will also present a literature review of IUI, including the risk factors, intraoperative prevention, and repair options.

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Section: Risk Factors For Ureteric Injurymentioning

confidence: 99%

Section: Risk Factors For Ureteric Injurymentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Ureteral Injury During Colorectal Surgery: Two Case Reports and a Literature Review

Yellinek

Krizzuk

Nogueras

et al. 2018

J Anus Rectum Colon

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“…Several studies2, 3, 4, 5 have reported an incidence of between 0·1 and 7·6 per cent in colorectal and gynaecological surgery, with more than 80 per cent of injuries going unrecognized during surgery. Ureteric injury leads to significant postoperative morbidity even if identified and repaired during the same procedure6.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of a novel dye for near‐infrared fluorescence delineation of the ureters during laparoscopy

et al. 2018

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BackgroundIatrogenic ureteric injury remains a risk in laparoscopic pelvic procedures. Near‐infrared fluorescence (NIRF) imaging is a promising new technique for enhanced intraoperative visualization of anatomical structures that could improve the safety of laparoscopic surgery. A new dye, IRDye® 800‐BK, has been developed for intraoperative visualization of the ureters using NIRF. The present study was a first evaluation of the performance of IRDye® 800‐BK for ureteric imaging during NIRF laparoscopy.MethodsThis study consisted of three parts: real‐time in vivo NIRF imaging using IRDye® 800‐BK in pigs during laparoscopic surgery, ex vivo NIRF imaging of freshly explanted pig ureters and ex vivo NIRF imaging of explanted human ureters.ResultsIn all animals, both left and right ureters were visualized throughout the laparoscopic procedure for 120 min, with the best results at a dose of 0·15 mg dye per kg bodyweight. NIRF imaging was successful in all human and porcine ureters studied, with a range of dye concentrations.ConclusionNIRF imaging of the ureters using IRDye® 800‐BK was used successfully both in vivo in a porcine model, and ex vivo in porcine and human ureters.

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Ureteral Injury During Laparoscopic Colectomy: The Need for More Information

Wick¹

2012

Arch Surg

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Incidence of Iatrogenic Ureteral Injury After Laparoscopic Colectomy

Cited by 137 publications

References 19 publications

Ureteral Injury During Colorectal Surgery: Two Case Reports and a Literature Review

Ureteral Injury During Colorectal Surgery: Two Case Reports and a Literature Review

Evaluation of a novel dye for near‐infrared fluorescence delineation of the ureters during laparoscopy

Ureteral Injury During Laparoscopic Colectomy: The Need for More Information

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