Preview

Journal of oncology: diagnostic radiology and radiotherapy

Advanced search

Possibilities of Interventional Technologies in Treatming of Iatrogenic Ureteral Injuries in Oncological Patients

https://doi.org/10.37174/2587-7593-2020-3-1-57-68

Abstract

Iatrogenic intraoperative ureter injuries are rare complications in medical practice that can threaten to a patient ‘s life. There are no standardized approaches in the treatment of this condition. This work presents the experience of our clinic of non-standard mini-invasive treatment of patients with the use of Rendez-vous technique, which allowed to restore the integrity of the upper urinary tract and natural passage of urine without repeated surgery.

About the Authors

I. V. Pogrebnyakov
Clinical and Experimental Radiology Research Institute, Interventional Radiology Laboratory; Federal State Budgetary Institution «N.N. Blokhin National Medical Research Center of Oncology» оf the Ministry of Health of the Russian Federation
Russian Federation
Moscow.


B. I. Dolgushin
Clinical and Experimental Radiology Research Institute, Interventional Radiology Laboratory; Federal State Budgetary Institution «N.N. Blokhin National Medical Research Center of Oncology» оf the Ministry of Health of the Russian Federation
Russian Federation
Moscow.


E. R. Virshke
Clinical and Experimental Radiology Research Institute, Interventional Radiology Laboratory; Federal State Budgetary Institution «N.N. Blokhin National Medical Research Center of Oncology» оf the Ministry of Health of the Russian Federation
Russian Federation
Moscow.


A. V. Kukushkin
Clinical and Experimental Radiology Research Institute, Interventional Radiology Laboratory; Federal State Budgetary Institution «N.N. Blokhin National Medical Research Center of Oncology» оf the Ministry of Health of the Russian Federation
Russian Federation
Moscow.


V. A. Cherkasov
Clinical and Experimental Radiology Research Institute, Interventional Radiology Laboratory; Federal State Budgetary Institution «N.N. Blokhin National Medical Research Center of Oncology» оf the Ministry of Health of the Russian Federation
Russian Federation
Moscow.


References

1. Summerton DJ, Kitrey ND, Lumen N, et al. EAU guidelines on iatrogenic trauma. Eur Urol. 2012;62:628-39.

2. Jha S, Coomarasamy A, Kong Chan K. Ureteric injury in obstetric and gynaecological surgery. R Coll Obstet Gynaecol. 2004;6:203-8.

3. Wein AJ, Kavoussi LR, Novick AC, et al. Campbell- Walsh urology. Elsevier Health Sciences. Amsterdam. The Netherlands. 2011:1178-88.

4. Burks FN, Santucci RA. Management of iatrogenic ureteral injury. Ther Adv Urol. 2014;6(3):115-24.

5. Avritscher R, Madoff DC, Ramirez PT, et al. Fistulas of the lower urinary tract: percutaneous approaches for the management of a difficult clinical entity. Radiographics. 2004;24:217-36.

6. Selli C, Turri FM, Gabellieri C, et al. Delayed-onset ureteral lesions due to thermal energy: an emerging condition. Arch Ital Urol Andro. 2014;86(2):152-3.

7. Berkmen F, Peker AE, Alagöl H, et al. Treatment of iatrogenic ureteral injuries during various operations for malignant conditions. J Exp Clin Cancer Res. 2000;19(4):441-5.

8. Moore EE, Cogbill TH, Malangoni M, et al. Scaling system for organ specific injuries. Am Assoc Surg Trauma. 2015. http://www.aast.org/Library/TraumaTools/InjuryScoringScales.aspx.

9. Урология: национальное руководство. Под ред. Н.А. Лопаткина. — М.: ГЭОТАР-Медиа, 2009. 1024 с. [Urology: National Leadership. Ed. by N.A. Lopatkin. Moscow: GEOTAR-Media, 2009. 1024 p.].

10. Titton RL, Gervais DA, Hahn PF, et al. Urine leaks and urinomas: diagnosis and imaging-guided intervention. RadioGraphics. 2003;23:1133-47.

11. Briggs JH, Wing L, Macdonald AC, et al. Suspected iatrogenic ureteric injury: an approach to diagnostic imaging. Clin Radiol. 2014;69(11):e454–e461. DOI: 10.1016/j.crad.2014.07.014.

12. Catalá V, Solà M, Samaniego J, et al. CT findings in urinary diversion after radical cystectomy: postsurgical anatomy and complications. RadioGraphics. 2009;29:461-76.

13. Mahendran HA, Singam P, Ho C, et al. Iatrogenic ureter injuries: eleven years experience in a tertiary hospital. Med J Malays. 2012;67(2):169-72.

14. Lang EK. Antegrade ureteral stenting for dehiscence, strictures, and fistulae. AJR. 1984;143:795-801.

15. Veranič P, Romih R, Jezernik K. What determines differentiation of urothelial umbrella cells? Eur J Cell Biology. 2004;83(1):27-34.

16. Druy EM, Ghanib M, Finder CA. Percutaneous nephroureteral drainage and stenting for postsurgical ureteral leaks. AJR. 1983;141:389-94.

17. Ku JH, Kim ME, Jeon YS, et al. Minimally invasive management of ureteral injuries recognized late after obstetric and gynaecological surgery. Int J Care Inj. 2003;34:480-3.

18. Yates DR, Mehta SS, Spencer PA, et al. Combined antegrade and retrograde endoscopic retroperitoneal bypass of ureteric strictures: a modification of the ‘rendezvous’ procedure. BJU Int. 2009.105:992-7.

19. De Baere T, Roche A, Lagrange C, et al. Combined percutaneous antegrade and cystoscopic retrograde approach in the treatment of distal ureteric fistulae. Cardiovasc Interv Radiol. 1995;18:349-52.

20. Macrì A, Magno C, Certo A, et al. Combined antegrade and retrograde ureteral stenting: the rendezvous technique. Clin Radiol. 2005;60:257-60.

21. Zini C, Corona M, Cirelli C, et al. Ureteral rendezvous: the orologio’s technique. ECR. 2014. C-1675. DOI: 10.1594/ecr2014/C-1675.

22. Liu C, Zhang X, Xue D, et al. Endoscopic realignment in the management of complete transected ureter. Int Urol Nephrol. 2014;46:335-40.

23. Trombatore C, Giordano G, Magnano San Lio V. Interventional radiology in iatrogenic ureteral leaks: case series and literature review. Radiol Med. 2017 Sep;122(9):696-704.


Review

For citations:


Pogrebnyakov I.V., Dolgushin B.I., Virshke E.R., Kukushkin A.V., Cherkasov V.A. Possibilities of Interventional Technologies in Treatming of Iatrogenic Ureteral Injuries in Oncological Patients. Journal of oncology: diagnostic radiology and radiotherapy. 2020;3(1):57–68. (In Russ.) https://doi.org/10.37174/2587-7593-2020-3-1-57-68

Views: 1254


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 2587-7593 (Print)
ISSN 2713-167X (Online)