Urologic complications of laparoscopic radical hysterectomy and lymphadenectomy

Jong Ha Hwang, Myong Cheol Lim, Jae Young Joung, Sang Soo Seo, Sokbom Kang, Ho Kyung Seo, Jinsoo Chung, Sang Yoon Park

Research output: Contribution to journalArticle

17 Citations (Scopus)

Abstract

Introduction and hypothesis: The purpose of this study was to evaluate the intra- and postoperative urologic complications and management in patients with cervical or endometrial cancer treated with laparoscopic radical hysterectomy and lymphadenectomy. Methods: We retrospectively reviewed the medical records of 146 patients with cervical or endometrial cancer who underwent total laparoscopic radical hysterectomy with lymphadenectomy between August 2002 and April 2011. The intra- and postoperative urologic complications were analyzed. Results: Double ureteral stents were inserted prophylactically in 13 patients (8.9 %), 2 of whom had postoperative urologic complications. Nine patients (6.2 %) had postoperative urologic complications. Of four patients with ureterovaginal fistulas, two were treated conservatively with cystoscopic placement of ureteral stents and two underwent ureteroneocystostomies. Vesicovaginal fistulas occurred in two patients, both of whom underwent vesicovaginal fistula repairs. One patient noted to have a bladder injury intraoperatively had a laparoscopic repair, and one patient noted to have a ureteral injury postoperatively was treated conservatively with cystoscopic placement of ureteral stents. Conclusions: Iatrogenic lower urinary tract injuries during laparoscopic radical hysterectomy are relatively common complications. Intraoperative prophylactic ureteral stent insertion and the early detection of urologic complications postoperatively is advised for patients who undergo laparoscopic radical hysterectomies.

Original languageEnglish
Pages (from-to)1605-1611
Number of pages7
JournalInternational Urogynecology Journal
Volume23
Issue number11
DOIs
StatePublished - 1 Jan 2012

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Lymph Node Excision
Hysterectomy
Stents
Vesicovaginal Fistula
Endometrial Neoplasms
Uterine Cervical Neoplasms
Wounds and Injuries
Urinary Tract
Fistula
Medical Records
Urinary Bladder

Keywords

  • Cervical cancer
  • Endometrial cancer
  • Laparoscopic radical hysterectomy
  • Urologic complications

Cite this

Hwang, Jong Ha ; Lim, Myong Cheol ; Joung, Jae Young ; Seo, Sang Soo ; Kang, Sokbom ; Seo, Ho Kyung ; Chung, Jinsoo ; Park, Sang Yoon. / Urologic complications of laparoscopic radical hysterectomy and lymphadenectomy. In: International Urogynecology Journal. 2012 ; Vol. 23, No. 11. pp. 1605-1611.
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Hwang, JH, Lim, MC, Joung, JY, Seo, SS, Kang, S, Seo, HK, Chung, J & Park, SY 2012, 'Urologic complications of laparoscopic radical hysterectomy and lymphadenectomy', International Urogynecology Journal, vol. 23, no. 11, pp. 1605-1611. https://doi.org/10.1007/s00192-012-1767-2

Urologic complications of laparoscopic radical hysterectomy and lymphadenectomy. / Hwang, Jong Ha; Lim, Myong Cheol; Joung, Jae Young; Seo, Sang Soo; Kang, Sokbom; Seo, Ho Kyung; Chung, Jinsoo; Park, Sang Yoon.

In: International Urogynecology Journal, Vol. 23, No. 11, 01.01.2012, p. 1605-1611.

Research output: Contribution to journalArticle

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T1 - Urologic complications of laparoscopic radical hysterectomy and lymphadenectomy

AU - Hwang, Jong Ha

AU - Lim, Myong Cheol

AU - Joung, Jae Young

AU - Seo, Sang Soo

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AU - Seo, Ho Kyung

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KW - Endometrial cancer

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