Application of Ureteroscopy in the Diagnosis and Treatment of Ureteral Injury Caused by Laparoscopic Hysterectomy
10.3969/j.issn.1009-6604.2017.03.022
- VernacularTitle:输尿管镜在腹腔镜子宫切除术输尿管损伤诊治中的应用
- Author:
Qingfeng ZHU
;
Xiaomin WU
;
Anquan LIU
- Keywords:
Ureteroscopy;
Laparoscopic hysterectomy;
Ureteral injury
- From:
Chinese Journal of Minimally Invasive Surgery
2017;17(3):270-272
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the value of ureteroscopy in the diagnosis and treatment of ureteral injury caused by laparoscopic hysterectomy . Methods Suspect ureteral injury occurred in 23 cases out of 578 laparoscopic hysterectomy from January 2010 to December 2015 in our hospital.Among them, 12 cases were testified by ureteroscopy .A double-J catheter was placed in for 3 months. Results All the 12 cases were followed up for 3-26 months (average, 19 months).The double-J catheter was removed at 3 months after surgery .The continuity of the affected side urinary tract was restored in 10 cases and hydronephrosis was not found by B ultrasound .Two cases were found ureteral obstruction and were given ureterovesical reimplantation at 3 months after surgery . Conclusions The ureteroscopy should be carried out as early as possible for patients with suspect ureteral injury after laparoscopic hysterectomy .Double-J catheter placement can avoid parts of patients converting to open surgery .
