Ureteral lesions are a rare complication of colorectal surgery. This type of surgical procedure is the second most common cause of such complications, second only to gynecological operations, which account for around 50%. According to the localization of the lesion, they аre grouped into three types: injury to the proximal, middle, and distal part of the ureter, with the latter being the most common—around 80–90%. Most of the lesions are not recognized intraoperatively and sometimes the diagnosis can be delayed significantly. The time of diagnosis and the localization of the injury are crucial to the choice of treatment. We present a case of a patient, with a late diagnosis of lesion of the left ureter after the laparoscopic anterior resection of the rectum, which was treated with a laparoscopic uretero-ureteral anastomosis with simultaneous double-J catheterization. We also present a short literature review on the subject.
Halabi WJ, Jafari MD, Nguyen VQ, Carmichael JC, Mills S, Pigazzi A, Stamos MJ. Ureteral injuries in colorectal surgery: an analysis of trends, outcomes, and risk factors over a 10-year period in the United States. Dis Colon Rectum. 2014;57(2):179-86. doi: 10.1097/DCR.0000000000000033.
Burks FN, Santucci RA. Management of iatrogenic ureteral injury. Ther Adv Urol. 2014;6(3):115-24. doi: 10.1177/1756287214526767.
Esparaz AM, Pearl JA, Herts BR, LeBlanc J, Kapoor B. Iatrogenic urinary tract injuries: etiology, diagnosis, and management. Semin Intervent Radiol. 2015;32(2):195-208. doi: 10.1055/s-0035-1549378.
Zafar SN, Ahaghotu CA, Libuit L, Ortega G, Coleman PW, Cornwell EE 3rd, Tran DD, Fullum TM. Ureteral injury after laparoscopic versus open colectomy. JSLS. 2014;18(3):e2014.00158. doi: 10.4293/JSLS.2014.00158.
Aguilera A, Gomez Rivas J, Quintana LM, Quesada-Olarte J, Carrion DM, Martínez-Piñeiro L. Ureteral injury during abdominal and pelvic surgery: immediate versus deferred repair. Cent European J Urol. 2019;72(3):312-8. doi: 10.5173/ceju.2019.1782.
Hird AE, Nica A, Coburn NG, Kulkarni GS, Nam RK, Gien LT. Does prophylactic ureteric stenting at the time of colorectal surgery reduce the risk of ureteric injury? A systematic review and meta-analysis. Colorectal Dis. 2021;23(5):1060-70. doi: 10.1111/codi.15498.
Morey AF, Brandes S, Dugi DD 3rd, Armstrong JH, Breyer BN, Broghammer JA, et al. J Urol. 2014;192(2):327-35. doi: 10.1016/j.juro.2014.05.004.
Kim TN, Kim JH, Oh CK, Lee W, Nam JK, Lee KS. Three different laparoscopic techniques for the management of iatrogenic ureteral injury: A multi-institutional study with medium-term outcomes. Asian J Surg. 2021;44(7):964-968. doi: 10.1016/j.asjsur.2021.01.027.
Rassweiler JJ, Gözen AS, Erdogru T, Sugiono M, Teber D. Ureteral reimplantation for management of ureteral strictures: a retrospective comparison of laparoscopic and open techniques. Eur Urol. 2007;51(2):512-22; discussion 522-3. doi: 10.1016/j.eururo.2006.08.004.