Preventing Iatrogenic Ureteral Injury during Laparoscopic Left Colectomy
DOI:
https://doi.org/10.34635/rpc.1067Keywords:
Colectomy/adverse effects, Iatrogenic Disease, Intraoperative Complications, Laparoscopy/adverse effects, Ureter/injuriesAbstract
The object of this review is to make a retrospective study about the incidence, the diagnosis, the timing of repair and the techniques of repair after iatrogenic ureteral injury during laparoscopic colectomy (IUILC). A retrospective PubMed, Embase and Google Scholar database research from January 2000 to January 2020 was conducted enrolling studies about patients with iatrogenic ureteral injury during laparoscopic left colectomy (IUILC). Diverticular disease seems to be the second most common diagnosis associated with IUILLC for the presence of intraoperative adhesions, while, for rectal cancer, preoperative chemoradiotherapy increases the risk of IUILLC. Ureteral catheter placement is not risk-free they may. Still, it helps the surgeons in immediate recognition and treatment of IUI at the time of surgery, diminishing morbidity and renal failure compared with cases where the diagnosis was delayed. This retrospective review showed that increased surgeon awareness and meticulous technique may help reduce the incidence of IUILC.Downloads
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