ROBOT-ASSISTED CORRECTION OF IATROGENIC PELVIC URETERAL INJURIES

Ureteral injury - one of the most serious complications of surgery on the pelvic organs and is often associated with a significant risk to the health and lives of patients, ureteral fistula formation and the potential loss of kidney function. There is no any specific medical treatment of iatrogenic ureteral injuries. The localization of injury below the intersection of ureter with the common iliac vessels, and injury of pelvic ureter require the performing ureterocystoneoanastomosis using particular methodology, or plasy of lower ureter using flap formed from the bladder (Boari surgery). In the late XX century, the rapid development of endoscopic techniques made it possible to perform laparoscopic ureterocystoneoanastomosis. From the beginning of the XXI century, the implementation of daVinci robotic system has strengthened the position of endoscopic surgery in reconstructive urology. This observation demonstrates the ability to perform a robotic-assisted ureterocystoneoanastomosis.

ureteral injury, ureterocystoneoanastomosis, robot-assisted surgery