Robot yardımlı laparoskopik radikal prostatektomi operasyonu esnasında gelişen üreter yaralanması: Olgu sunumu

Üreter yaralanması literatürde açık, laparoskopik ve özellikle robotik radikal prostatektomi esnasında nadir olarak bildirilen bir komplikasyondur. Bu gibi bir yaralanma için risk faktörleri; aşırı adezyon, geçirilmiş prostat rezeksiyonu, zor posterior diseksiyon, büyük median lob, geçirilmiş pelvik cerrahi ve pelvik radyasyon ve genişletilmiş lenfadenektomi yapılmasını içerir. Komplet distal üreter yaralanması olduğunda, üretero-üreterostomi ve üreteroneosistostomi robotik radikal prostatektomi esnasındaki üreter yaralanması için standart tedavi olarak kabul edilebilir. Biz bu olgumuzda robotik radikal prostatektomi esnasında üretero-üreterostomi ile başarılı şekilde tedavi edilen sağ kompletdistalüreter yaralanmasını sunmaktayız.

Anahtar Kelimeler:

üreteral yaralanma, radikal prostatektomi, robotik cerrahi, üretero- üreterostomi, üreteral reimplantasyon

Ureteral injury during robotic-assisted laparoscopic radical prostatectomy: Case report

Ureteral injury during open, laparoscopic and especially robotic prostatectomy was reported as a rare complication in series. Potential risk factors for such an injury include excessive adhesions, previous prostate resection, difficult posterior dissection, enlarged median lobes, previous pelvic surgeries and pelvic radiation, and extended lymphadenectomy. While complete distal ureteral injury, uretero-ureterostomy and ureteroneocystostomy may be regarded as standard management for ureteral injury during robotic radical prostatectomy. We report on this case of a right complete distal ureteral injury which was successfully treated with ureteroureterostomy during robotic radical prostatectomy.

Keywords:

ureteral injury, radical prostatectomy, robotic surgery, uretero-ureterostomy, ureteral reimplantation,

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