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Hosseini, Seyed Vahid, Hosseini, Seyed Hossein, Khazraei, Hajar, Pourahmad, Mahboobeh. (1401). Comparative Study of Ureteral Injury After Laparoscopic or Laparotomy Rectal Surgery. سامانه مدیریت نشریات علمی, 10(3), 98-102. doi: 10.30476/acrr.2022.97241.1159
Seyed Vahid Hosseini; Seyed Hossein Hosseini; Hajar Khazraei; Mahboobeh Pourahmad. "Comparative Study of Ureteral Injury After Laparoscopic or Laparotomy Rectal Surgery". سامانه مدیریت نشریات علمی, 10, 3, 1401, 98-102. doi: 10.30476/acrr.2022.97241.1159
Hosseini, Seyed Vahid, Hosseini, Seyed Hossein, Khazraei, Hajar, Pourahmad, Mahboobeh. (1401). 'Comparative Study of Ureteral Injury After Laparoscopic or Laparotomy Rectal Surgery', سامانه مدیریت نشریات علمی, 10(3), pp. 98-102. doi: 10.30476/acrr.2022.97241.1159
Hosseini, Seyed Vahid, Hosseini, Seyed Hossein, Khazraei, Hajar, Pourahmad, Mahboobeh. Comparative Study of Ureteral Injury After Laparoscopic or Laparotomy Rectal Surgery. سامانه مدیریت نشریات علمی, 1401; 10(3): 98-102. doi: 10.30476/acrr.2022.97241.1159

Comparative Study of Ureteral Injury After Laparoscopic or Laparotomy Rectal Surgery

Iranian Journal of Colorectal Research
مقاله 4، دوره 10، شماره 3، آذر 2022، صفحه 98-102    اصل مقاله (476.92 K)
نوع مقاله: Research/Original Article
شناسه دیجیتال (DOI): 10.30476/acrr.2022.97241.1159
نویسندگان
Seyed Vahid Hosseini1؛ Seyed Hossein Hosseini2؛ Hajar Khazraei* 3؛ Mahboobeh Pourahmad4
1Colorectal research center, Shiraz University of medical sciences, Shiraz, Iran
2Department of Urology, Shiraz University of Medical Sciences, Shiraz, Iran
3Colorectal Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
4colorectal research center, Shiraz University of Medical Sciences, Shiraz, Iran
چکیده
Background Despite the low incidence rate, ureteral injuries can lead to significant morbidity. Urinary organs can be injured during open or laparoscopic surgery. This study aimed to assess whether a ureteral injury exists between laparoscopic and open surgery over 20 years in Shiraz.
Methods This is a retrospective study and 779 patients of rectal cancer were evaluated in Shiraz from 2000 to 2021 by collecting data from the patients’ electronic charts. We evaluated the type of surgery, gender, age, body mass index (BMI), stage, appearance and size of the tumor, preoperative (chemo)-radio-therapy, recurrence, and metastasis. Ureteral injury was analyzed and urinary incontinence was recorded.
Results A total number of 131 (22.2%) in laparoscopy surgeries and 42 (30.6%) in laparotomy surgeries had abdominoperineal (A-P) resection. The total number of 254 (43%) in laparoscopy surgeries and 61 (44.5%) of patients had low anterior resection in laparotomy surgeries. The incidence of ureteral injuries was 2.2% for open procedures and 1.5% for laparoscopic and 2.2% for conversion procedures. The rate of urinary incontinence was 65 (11.0%) in laparoscopy and 9 (6.6%) in laparotomy group.
Conclusion It is concluded that the ureteral injury after laparotomy is more than laparoscopic surgeries. Although the number of side effects of these surgeries is low, it can be concluded that the possibility of damage to the ureter is less in laparoscopic surgery and that of damage to the nerves of the pelvic floor is more.
کلیدواژه‌ها
sphincter ،rectal cancer ، surgery؛ urinary
مراجع
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