術前に尿管ステントを留置するも、尿管損傷を発生したTLH1症例

• 高橋 伸卓

  静岡がんセンター

• 坂口 健一郎

  市ヶ尾カリヨン病院

書誌事項

タイトル別名

• Ureteral Injury during Hysterectomy despite Preoperative Stent Placement: Case Report

抄録

Laparoscopic surgery for gynecological tumors is a common procedure performed in Japan. The performance of a total laparoscopic hysterectomy (TLH) has been increasing at many hospitals in recent years; furthermore, operative techniques are developed independently at each facility. Ureteral injury is a common TLH complication. Some studies have reported that ureteral injury is up to 35 times more common in a TLH, compared to a conventional abdominal or vaginal hysterectomy. Surgeons should strive for prevention of ureteral injury during a TLH. Routine use of a ureteral stent is performed before TLH at our hospital. It is among the most useful methods for prevention of a ureteral injury.<br>  We use a ureteral stent for all cases of TLH. Unfortunately, we experienced one case among 125 TLH cases in which a ureteral injury occurred. The patient was a 47-year-old woman who underwent a TLH because of hypermenorrhea due to multiple myomas. We report the course of the case and describe the cause of the injury.

収録刊行物

• 日本産科婦人科内視鏡学会雑誌

  日本産科婦人科内視鏡学会雑誌 30 (1), 199-203, 2014

  日本産科婦人科内視鏡学会

キーワード

• total laparoscopic hysterectomy
• ureteral injury
• ureteric stent

詳細情報

• CRID: 1390001205346225024
• NII論文ID: 130004960121
• DOI: 10.5180/jsgoe.30.199
• ISSN: 18845746
• ISSN: 18849938
• Web Site: https://www.jstage.jst.go.jp/article/jsgoe/30/1/30_199/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2015152850
• 本文言語コード: ja
• データソース種別:
  • JaLC
  • Crossref
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可