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腹腔镜子宫切除术后输尿管损伤:3 例报告及文献复习。

Ureteric injury after laparoscopic hysterectomy: a report of 3 cases and brief literature review.

机构信息

2nd Department of Gynecology, Medical University in Lublin, Poland, Poland.

Medical University in Lublin, Poland.

出版信息

Ginekol Pol. 2022;93(7):585-590. doi: 10.5603/GP.a2022.0028. Epub 2022 Jul 27.

DOI:10.5603/GP.a2022.0028
PMID:35894493
Abstract

OBJECTIVES

The application of minimally invasive laparoscopic techniques in gynecologic surgery gained popularity due to quicker recovery, shorter hospital stays as well as lower risk of complications. Ureteric injuries at laparoscopic hysterectomies are incidental and occur in less than 1% of cases. They can be identified intra-operatively but most of them are undetected. In most cases, the symptoms of an injury are non-specifically manifested after several days or even months following surgery.

MATERIAL AND METHODS

We described different clinical symptoms suggesting ureteric injury based on 3 laparoscopic hysterectomies. Methods of diagnosis and repair techniques were also presented.

CONCLUSIONS

All complications following laparoscopic hysterectomy should be analyzed meticulously and ureteral injury must be considered as one of the possible causes of abnormal patient recovery.

摘要

目的

由于微创腹腔镜技术具有恢复更快、住院时间更短、并发症风险更低等优点,在妇科手术中的应用越来越受欢迎。腹腔镜子宫切除术的输尿管损伤是偶发的,不到 1%的病例会发生。它们可以在手术过程中被识别出来,但大多数都没有被发现。在大多数情况下,手术后数天甚至数月后,损伤的症状才表现出来。

材料与方法

我们根据 3 例腹腔镜子宫切除术描述了提示输尿管损伤的不同临床症状。还介绍了诊断方法和修复技术。

结论

所有腹腔镜子宫切除术后的并发症都应仔细分析,输尿管损伤必须被视为患者异常恢复的可能原因之一。

相似文献

1
Ureteric injury after laparoscopic hysterectomy: a report of 3 cases and brief literature review.腹腔镜子宫切除术后输尿管损伤:3 例报告及文献复习。
Ginekol Pol. 2022;93(7):585-590. doi: 10.5603/GP.a2022.0028. Epub 2022 Jul 27.
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Incidental ureteral injury and repair during robotic-assisted total laparoscopic hysterectomy.机器人辅助全腹腔镜子宫切除术中的意外输尿管损伤及修复
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Iatrogenic ureteric injury during abdominal or pelvic surgery: a meta-analysis.医源性输尿管损伤在腹部或盆腔手术期间:一项荟萃分析。
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