Transilluminating ureteric stents for preventing operative ureteric damage

Phipps, Jeffrey H.; Tyrrell, N. J.

doi:10.1111/j.1471-0528.1992.tb14400.x

Cited by 36 publications

(11 citation statements)

References 5 publications

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“…Some reports propose the preoperative placement of ureteral catheters to improve the haptic perception or visualization in case transilluminating stents are used on a routine base, or in case of complex pelvic disease [18,[36][37][38]. However, others reject the routine use because of possible complications after stent placement (ie, hematuria, oliguria, and anuria) [37]; this was confirmed by our experts.…”

Section: % 286%supporting

confidence: 61%

Recommendations to Prevent Urinary Tract Injuries During Laparoscopic Hysterectomy: A Systematic Delphi Procedure Among Experts

Janssen¹,

Brölmann²,

Huirne³

2011

Journal of Minimally Invasive Gynecology

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Section: % 286%supporting

confidence: 61%

Recommendations to Prevent Urinary Tract Injuries During Laparoscopic Hysterectomy: A Systematic Delphi Procedure Among Experts

Janssen¹,

Brölmann²,

Huirne³

2011

Journal of Minimally Invasive Gynecology

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“…Some surgeons advocate this practice should help avoid ureteric injury (1)(2)(3)(4), while others fear the potential injury during insertion and postoperative urinary complications (5,6) including oliguria (2), anuria (5,6), and urinary tract infection (7,8). Moreover, the insertion of preoperative ureteric catheters increases both the length of time in the operating room and that under anesthesia, as well as the overall cost of the procedure (1).…”

Section: Introductionmentioning

confidence: 99%

Clinical Value of Prophylactic Ureteral Stent Indwelling During Laparoscopic Colorectal Surgery

Nam

Wexner

2002

J Korean Med Sci

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INTRODUCTIONThe use of ureteric catheters in abdominal operations has been an area of debate. Some surgeons advocate this practice should help avoid ureteric injury (1-4), while others fear the potential injury during insertion and postoperative urinary complications (5, 6) including oliguria (2), anuria (5, 6), and urinary tract infection (7,8). Moreover, the insertion of preoperative ureteric catheters increases both the length of time in the operating room and that under anesthesia, as well as the overall cost of the procedure (1). Ureteric catheters may be particularly useful during laparoscopic colorectal procedures in which manual tactile localization is not possible. Therefore, the aim of this study was to evaluate the results of ureteric catheterization during laparoscopic colorectal procedures regarding its safety and operative time. MATERIALS AND METHODSAll patients who underwent segmental right or left laparoscopic colorectal resections were assessed. Patient variables analyzed included surgical indications, history of prior abdominal surgery, time for stent placement (stent time), time from induction of anesthesia to surgical incision (preparation time), total operative and total anesthesia times (beginning of stent insertion to completion of surgery), and morbidity.All ureteric catheterizations were cystoscopically performed by one of six staff urologists using number 5 French ureteric catheters. The catheters were placed after induction of general endotracheal anesthesia and in the modified supine lithotomy position but prior to the commencement of the laparoscopic colorectal procedure. All stents were removed in the operating room immediately prior to reversal of anesthesia.Statistical analyses were performed by use of the Student t-test and 2 test, as appropriate. Statistical significance was indicated by p<0.05. RESULTSOne-hundred and sixty-two patients underwent laparoscopic segmental left or right hemicolectomy. In 67 patients, bilateral ureteric catheter placement was planned (Group 1), whereas in 95 patients, catheters were not utilized (Group 2). There were 31 males and 36 females with a mean age of 55 (range, 15-86) One of the hazards of colorectal surgery is ureteric injury. The aim of this study was to evaluate the results of ureteric catheterization regarding its safety and operative time. One-hundred sixty two patients underwent laparoscopic segmental left or right colectomy. The mean time for placement of ureteric catheters was 11.4 min for the right hemicolectomy and 11.3 min for the left hemicolectomy group. The mean preparation times for right hemicolectomy and left hemicolectomy (group 1 vs. group 2) were 54.7 vs. 39.1 min (p=0.00001) and 61.4 vs. 47.6 min (p=0.006), respectively. There were no significant differences in the laparoscopic operative time in either the right or left hemicolectomy groups (134.2 vs. 145.5 min and 198.4 vs. 170.1 min, respectively). There was no morbidity directly related to the ureteric catheters and in fact the incidence of postoperative urinary tra...

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“…The application of illuminated/lighted ureteric catheters has also been reported in several series [3,10,25]. These catheters appeared to be useful as they enable enhanced visualization of the ureters.…”

Section: Discussionmentioning

confidence: 94%