Corona-Montes VE, García-Nares SII, Zapata-González A

Language: Spanish
References: 0
Page: 158-165
PDF size: 333.03 Kb.

ABSTRACT

The majority of ureteral lesions are iatrogenic and are usually secondary to surgical procedures, such as hysterectomy performed with any technique. Injury is more common in minimally invasive surgery, as well as resulting from ureteral stricture due to different pathologies of the urinary tract. Ureteral reimplantation is an essential part of the urologist’s armamentarium. The robotic-assisted approach has been carried out since 2003.
One of the objectives of this article was to describe the surgical technique of robotic-assisted ureteral reimplantation and to provide a review of the literature on this procedure.
Described herein are the details of the surgical technique performed on a 46-year-old patient with a ureteral lesion secondary to hysterectomy.
The results from different groups that have performed robotic-assisted ureteral reimplantation show that 90% of distal ureteral injuries are resolved through the extravesical technique.
Many groups currently perform robotic-assisted gynecologic surgery and the incidence of ureteral lesions is frequent. The da Vinci Surgical System is an alternative that provides great precision in injury resolution, with correct ureteral reconstruction through three-dimensional vision, improved mobility, and ease in suturing.