scholarly journals Ureteral injury during laparoscopic rectal resection and concurrent laparoscopic repair by uretero-ureterostomy

2021 ◽  
Vol 6 (2) ◽  
pp. 175-177
Author(s):  
Fatih Sumer ◽  
◽  
Ramazan Kutlu ◽  
Mehmet Ali Yağcı ◽  
Cuneyt Kayaalp
Keyword(s):  
Colorectal Surgery ◽  
Laparoscopic Repair ◽  
Rectal Resection ◽  
Laparoscopic Colorectal Surgery ◽  
Ureteral Injury ◽  
Accurate Approximation ◽  
Conversion To Open Surgery ◽  
Laparoscopic Rectal Resection ◽  
Intracorporeal Suture ◽  
Few Data

Iatrogenic ureteral injury is an uncommon but severe complication of laparoscopic colorectal surgery. If it is detected intraoperatively, conversion to open surgery is usually inevitable. Here, we described a complete ureteral transection during laparoscopic low anterior resection, which was simultaneously repaired by laparoscopic uretero-ureterostomy. The most important points during the anastomosis of two tiny tubular tissues are dissecting the tubular organs without trauma, obtaining meticulous hemostasis without causing any necrosis, and achieving accurate approximation of tissues with the sutures. To the best of our knowledge, this is the first report that focused on laparoscopic repair of ureteral injury during laparoscopic colorectal surgery. As there are still few data on laparoscopic repair of ureteral lesions, no firm conclusions can be drawn. But, in appropriate cases, if intracorporeal suture expertise is available, laparoscopic repair can be done during colorectal surgery.

scholarly journals A single institutional experience in laparoscopic colorectal surgery: Clinical and oncological outcomes over 10 years

2020 ◽  
pp. 6-6
Author(s):  
Aleksandar Djermanovic ◽  
Zoran Radovanovic ◽  
Dejan Lukic ◽  
Mladen Ðuric ◽  
Danica Golijanin ◽  
...  
Keyword(s):  
Colorectal Surgery ◽  
Rectal Resection ◽  
Laparoscopic Colorectal Surgery ◽  
Bowel Perforation ◽  
Survival Rates ◽  
Postoperative Mortality ◽  
Sigmoid Colectomy ◽  
Conversion To Open Surgery ◽  
Oncological Outcomes ◽  
Anterior Rectal Resection

Introduction: The development of laparoscopic colorectal surgery began in 1991. Today, laparoscopic surgery presents standard approach in the surgical treatment of malignant colon and rectal diseases. Aim: Surgical and oncological outcomes and survival rates of laparoscopic colorectal surgery at the Oncology Institute of Vojvodina. Methods: Data were collected prospectively from 66 patients undergoing laparoscopic colorectal surgery between December 2009 and December 2019. Registered data included sex, age, surgical indication and type for the procedure, indication and reason for conversion to open surgery, operative time, performing temporary or permanent stoma, intraoperative bowel perforation, pathologic TNM grade, number of harvested lymph nodes, inclusion of positive resection margin, number of postoperative days at the hospital, postoperative complications, postoperative mortality, presence of distant metastases and survival rates. Results: Laparoscopic procedures were right hemicolectomy in 11/66 (16.7%), left hemicolectomy in 1/66 (1.5%), sigmoid colectomy in 19/66 (28.8%), high anterior rectal resection in 13/66 (19.7%), low anterior rectal resection in 12/66 (18.2%), abdominoperineal amputation of the rectum in 7/66 (10.6%), colectomy in 2/66 (3%) and proctocolectomy in 1/66 (1.5%) patient. The median follow-up was 37.5 months (range 6 to 128). The total number of surviving patients was 60 (90.9%). Conclusion: This study showed that laparoscopic colorectal surgery has good clinical and oncological outcomes.

Incidence of Iatrogenic Ureteral Injury During Open and Laparoscopic Colorectal Surgery

2016 ◽  
Vol 26 (6) ◽  
pp. 513-515 ◽  
Author(s):  
Tom A.T. Marcelissen ◽  
Philip P. Den Hollander ◽  
Tom R.A.H. Tuytten ◽  
Meindert N. Sosef
Keyword(s):  
Colorectal Surgery ◽  
Laparoscopic Colorectal Surgery ◽  
Ureteral Injury ◽  
Iatrogenic Ureteral Injury

Effect of previous abdominal surgery on short-term outcomes following laparoscopic colorectal surgery.

2014 ◽  
Vol 32 (3_suppl) ◽  
pp. 653-653
Author(s):  
Masanori Hotchi ◽  
Yuhei Waki ◽  
Kazunori Tokuda ◽  
Masayoshi Obatake ◽  
Hiroshi Kotegawa ◽  
...  
Keyword(s):  
Colorectal Surgery ◽  
Abdominal Surgery ◽  
Sigmoid Colon ◽  
Open Surgery ◽  
Laparoscopic Colorectal Surgery ◽  
Operating Time ◽  
Short Term ◽  
Conversion To Open Surgery ◽  
Previous Abdominal Surgery ◽  
The Impact

653 Background: The impact of previous abdominal surgeries on the need for conversion to open surgery and on short-term outcomes during/after laparoscopic colorectal surgery was retrospectively investigated. This retrospective cohort study was conducted from May 2004 through October 2012. This study was conducted at Tokushima University Hospital and Ehime Prefectural Central Hospital. Methods: A total of 145 consecutive patients who had undergone laparoscopic resection of the sigmoid colon and upper rectum were classified as not having previous abdominal surgery (NPAS group, n = 123) or as having previous abdominal surgery (PAS group, n = 22). Short-term outcomes were assessed between the two groups. Results: The population of previous abdominal surgery consisted of 6 appendectomy, 3 gastrectomy for gastric ulcer, 2 nephrectomy, 2 peritonitis and 11 others (2 duplication). There were no significant differences in age, gender, BMI, tumor location, tumor size, Stage, operating time, blood loss and number of lymph node harvest between the two groups. The conversion to open surgery was performed in 1 patient (4.5%) in the PAS group and 6 patients (4.9%) in the NPAS group. The intraoperative inadvertent enterotomy occurred in 1 patient in the NPAS group. There was no difference in postoperative morbility between the two groups. In the NPAS group, anastomotic leakage was observed in 3 cases. Ileus was observed in one case in the NPAS and none in the PAS. Postoperative hospital stay was 14 days in the PAS group and 16 days in the NPAS group. Conclusions: Short-term outcomes following laparoscopic surgery for sigmoid colon and upper rectal cancer with previous abdominal surgery are acceptable.

scholarly journals IMPACT OF LAPAROSCOPIC COLORECTAL SURGERY ON BODY IMAGE

2021 ◽  
Vol 108 (Supplement_3) ◽  
Author(s):  
A Fernández Candela ◽  
L Sánchez-Guillén ◽  
L García Catalá ◽  
C Curtis Martínez ◽  
M Bosch Ramírez ◽  
...  
Keyword(s):  
Body Image ◽  
Colorectal Surgery ◽  
Laparoscopic Colorectal Surgery ◽  
Wound Complication ◽  
Descriptive Study ◽  
Surgical Quality ◽  
Body Image Scale ◽  
Study Results ◽  
The Impact ◽  
Observational Descriptive Study

Abstract INTRODUCTION The aim of this study is to evaluate the impact of laparoscopic colorectal surgery (LCS) on body image using the validated Body Image Scale (BIS) as a parameter of surgical quality. MATERIAL AND METHODS We conducted an observational descriptive study. Patients who underwent scheduled LCS between June 2015 and December 2019 by a General Hospital Coloproctology Unit were included. RESULTS The sample included 180 patients, 115 men (63.9%) and 65 women (36.1%) with a median age of 67 years. Right hemicolectomies (31.7%) and sigmoidectomies (28.3%) were the main procedures performed. In most patients, a suprapubic (69.4%) or transverse (19.4%) incision was made. 21.9% suffered some type of postoperative complication (13.9% wound complication, 10.6% incisional hernia). The general result of the BIS questionnaire was satisfactory, with a median of 0 in the responses (no alteration of body image). We found that 46.2% of the women had some alteration in body image, compared to 28.7% of the men (p = 0.018) and low and ultra-low anterior resection were the surgeries that obtained worst scores, with 13,5% and 12,5% respectively of patients with a BIS score above 5 (p = 0.044). Patients with a stoma also obtained worst punctuation (25% above 5 vs 6,1%, p = 0.001). No statistically significant differences were found regarding type of incision, presence of complications and anxiety or depression. CONCLUSION Study results show, in general, good post-surgical body image after LCS. However, patients with stoma and women were more dissatisfied. Interestingly, there is no worse body image due to type of incision, so we recommend the least iatrogenic one.

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