|تعداد مشاهده مقاله||10,696,900|
|تعداد دریافت فایل اصل مقاله||5,161,570|
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|
|Seyed Vahid Hosseini 1؛ 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|
|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.
|sphincter ،rectal cancer ، surgery؛ urinary|
1. Jacobs M, Verdeja JC, Goldstein HS. Minimally invasive colon resection (laparoscopic colectomy). Surgical laparoscopy & endoscopy. 1991;1(3):144-50.
2. Green BL, Marshall HC, Collinson F, Quirke P, Guillou P, Jayne DG, et al. Long-term follow-up of the Medical Research Council CLASICC trial of conventional versus laparoscopically assisted resection in colorectal cancer. The British journal of surgery. 2013;100(1):75-82.
3. Ohtani H, Tamamori Y, Arimoto Y,
Nishiguchi Y, Maeda K, Hirakawa
K. A meta-analysis of the short- and
long-term results of randomized
controlled trials that compared
laparoscopy-assisted and open
colectomy for colon cancer. Journal
of Cancer. 2012;3:49-57.
4. Richardson MC, Bell G, Fullarton
GM. Frequencyand nature of bile
duct injuries following laparoscopic
cholecystectomy: an audit of 5913
cases. West of Scotland Laparoscopic
Cholecystectomy Audit Group.
The British journal of surgery.
5. Nieboer TE, Johnson N, Lethaby A,
Tavender E, Curr E, Garry R, et al.
Surgical approach to hysterectomy
for benign gynaecological disease.
The Cochrane database of systematic
6. Palaniappa NC, Telem DA,
Ranasinghe NE, Divino CM.
Frequencyof iatrogenic ureteral
injury after laparoscopic colectomy.
Archives of surgery (Chicago, Ill :
7. Halabi WJ, Jafari MD, Nguyen VQ,
Carmichael JC, Mills S, Pigazzi A,
et al. Ureteral injuries in colorectal
surgery: an analysis of trends,
outcomes, and risk factors over a
10-year period in the United States.
Diseases of the colon and rectum.
8. Marcelissen TA, Den Hollander PP,
Tuytten TR, Sosef MN. Frequencyof
Iatrogenic Ureteral Injury During
Open and Laparoscopic Colorectal
Surgery: A Single Center Experience
and Review of the Literature.
Surgical laparoscopy, endoscopy
& percutaneous techniques.
9. Boyan WP, Jr., Lavy D, Dinallo A,
Otero J, Roding A, Hanos D, et al.
Lighted ureteral stents in laparoscopic
colorectal surgery; a five-year
experience. Annals of translational
10. Speicher PJ, Goldsmith ZG, Nussbaum
DP, Turley RS, Peterson AC, Mantyh
CR. Ureteral stenting in laparoscopic
colorectal surgery. The Journal of
surgical research. 2014;190(1):98-103.
11. Garg R, . Ureteric Injury in
Gynecology Surgery. Urinary Tract
Infection and Nephropathy - Insights
into Potential Relationship 2021.
12. Yellinek S, Krizzuk D, J JN, S DW.
Ureteral Injury During Colorectal
Surgery: Two Case Reports and a
Literature Review. Journal of the anus,
rectum and colon. 2018;2(3):71-6.
13. Kim NK, Kim HS, Alessa M, Torky
R. Optimal Complete Rectum
Mobilization Focused on the Anatomy
of the Pelvic Fascia and Autonomic
Nerves: 30 Years of Experience at
Severance Hospital. Yonsei medical
14. Zafar SN, Ahaghotu CA, Libuit L,
Ortega G, Coleman PW, Cornwell
EE, 3rd, et al. Ureteral injury after
laparoscopic versus open colectomy.
JSLS : Journal of the Society
of Laparoendoscopic Surgeons.
15. Nesargikar PN, Kaur V, Cocker DM,
Lengyel J. Consenting for pelvic nerve
injury in colorectal surgery: need to
address age and gender bias. Annals
of the Royal College of Surgeons of
16. Jayne DG, Brown JM, Thorpe
H, Walker J, Quirke P, Guillou
PJ. Bladder and sexual function
following resection for rectal cancer
in a randomized clinical trial of
laparoscopic versus open technique.
The British journal of surgery.
17. Chan DK, Chong CS, Lieske B,
Tan KK. Laparoscopic resection for
rectal cancer: what is the evidence?
BioMed research international.
18. Attaallah W, Ertekin SC, Yegen
C. Prospective study of sexual
dysfunction after proctectomy
for rectal cancer. Asian journal of
تعداد مشاهده مقاله: 29
تعداد دریافت فایل اصل مقاله: 51