• Skip to main content
  • Skip to header right navigation
  • Skip to site footer

Log in
  • Search
    • Search All SAGES Content
    • Search SAGES Guidelines
    • Search the Video Library
    • Search the Image Library
    • Search the Abstracts Archive
www.sages.org

SAGES

Reimagining surgical care for a healthier world

  • Home
    • Search
    • SAGES Home
    • SAGES Foundation Home
  • About
    • Awards
    • Who Is SAGES?
    • Leadership
    • Our Mission
    • Advocacy
    • Committees
      • SAGES Board of Governors
      • Officers and Representatives of the Society
      • Committee Chairs and Co-Chairs
      • Committee Rosters
      • SAGES Past Presidents
  • Meetings
    • SAGES NBT Innovation Weekend
    • SAGES Annual Meeting
      • 2026 Scientific Session Call for Abstracts
      • 2026 Emerging Technology Call for Abstracts
    • CME Claim Form
    • SAGES Past, Present, Future, and Related Meeting Information
    • SAGES Related Meetings & Events Calendar
  • Join SAGES!
    • Membership Application
    • Membership Benefits
    • Membership Types
      • Requirements and Applications for Active Membership in SAGES
      • Requirements and Applications for Affiliate Membership in SAGES
      • Requirements and Applications for Associate Active Membership in SAGES
      • Requirements and Applications for Candidate Membership in SAGES
      • Requirements and Applications for International Membership in SAGES
      • Requirements for Medical Student Membership
    • Member Spotlight
    • Give the Gift of SAGES Membership
  • Patients
    • Join the SAGES Patient Partner Network (PPN)
    • Patient Information Brochures
    • Healthy Sooner – Patient Information for Minimally Invasive Surgery
    • Choosing Wisely – An Initiative of the ABIM Foundation
    • All in the Recovery: Colorectal Cancer Alliance
    • Find A SAGES Surgeon
  • Publications
    • Sustainability in Surgical Practice
    • SAGES Stories Podcast
    • Patient Information Brochures
    • Patient Information From SAGES
    • TAVAC – Technology and Value Assessments
    • Surgical Endoscopy and Other Journal Information
    • SAGES Manuals
    • MesSAGES – The SAGES Newsletter
    • COVID-19 Archive
    • Troubleshooting Guides
  • Education
    • Wellness Resources – You Are Not Alone
    • Avoid Opiates After Surgery
    • SAGES Subscription Catalog
    • SAGES TV: Home of SAGES Surgical Videos
    • The SAGES Safe Cholecystectomy Program
    • Masters Program
    • Resident and Fellow Opportunities
      • MIS Fellows Course
      • SAGES Robotics Residents and Fellows Courses
      • SAGES Free Resident Webinar Series
      • Fluorescence-Guided Surgery Course for Fellows
      • Fellows’ Career Development Course
    • SAGES S.M.A.R.T. Enhanced Recovery Program
    • SAGES @ Cine-Med Products
      • SAGES Top 21 Minimally Invasive Procedures Every Practicing Surgeon Should Know
      • SAGES Pearls Step-by-Step
      • SAGES Flexible Endoscopy 101
    • SAGES OR SAFETY Video Activity
  • Opportunities
    • Fellowship Recognition Opportunities
    • SAGES Advanced Flexible Endoscopy Area of Concentrated Training (ACT) SEAL
    • Multi-Society Foregut Fellowship Certification
    • Research Opportunities
    • FLS
    • FES
    • FUSE
    • Jobs Board
    • SAGES Go Global: Global Affairs and Humanitarian Efforts
  • OWLS/FLS
You are here: Home / Abstracts / Increased Incidence of Iatrogenic Ureteral Injury Following Laparoscopic Colectomy

Increased Incidence of Iatrogenic Ureteral Injury Following Laparoscopic Colectomy

Nandini C Palaniappa, BA, Dana A Telem, MD, Nalin E Ranasinghe, MD, Jacqueline J Choi, MD, Elizabeth T Lynn, MD, Scott Q Nguyen, MD, Edward H Chin, MD FACS, Kaare J Weber, MD, Celia M Divino, MD FACS. The Mount Sinai School of Medicine

Introduction: Ureteral injuries during colectomy are rare with a reported incidence of <1%. The purpose of this study was to assess the impact of laparoscopy on the incidence of iatrogenic ureteral injury at a single institution.

Methods: Following Institutional-Review-Board approval, fifteen patients who underwent colectomy complicated by a ureteral injury from 2005 to 2010 were identified from a prospectively maintained database. Patient records were retrospectively reviewed.

Results: A total of 5,729 colectomies were performed during the study time period. Fifteen ureteral injuries occurred resulting in a 0.3% incidence of iatrogenic ureteral injury. Evaluation by patient demographic demonstrated 9(60%) injuries occurred in females and 7(47%) patients had prior abdominal operations. Operative indications included: inflammatory bowel disease(n=7), diverticulitis(n=3), malignancy(n=5). No difference was observed by surgeon experience or specialty training.

Operative assessment demonstrated 13(87%) operations were elective. Seven(47%) patients underwent laparoscopic procedures with 2 open conversions. Of the 5,729 colectomies, 4,669 were performed open and 1,060 laparoscopically. The incidence of ureteral injury with laparoscopic colectomy was significantly increased (0.7% vs. 0.2%, p=0.014). No difference in time to recognition was demonstrated by operative approach. Mean operative blood loss was 920mL.

Regarding the location of the ureteral injuries, 9 were left, 5 right, and one bilateral. Seven(47%) injuries were identified intraoperatively and 8(53%) postoperatively (range of 0-16 days to diagnosis). No difference was observed in intraoperative identification of ureteral injury in patients who underwent preoperative ureteral stent placement(n=7) versus those who did not (42%(3/7) vs. 50%(4/8)). Time to postoperative recognition also did not differ by use of ureteral stents (7-days (range 1-16 days) versus 3-days (range 1-9 days)), respectively.

Conclusion: There was a significant increase in the incidence of iatrogenic ureteral injuries with laparoscopy compared to open colectomies. Moreover, preoperative stent placement did not ensure intraoperative identification of injury. Female gender and increased operative blood loss appear to predispose to injury.


Session: Poster
Program Number: P137
View Poster

498

Share this:

  • Click to share on X (Opens in new window) X
  • Click to share on Facebook (Opens in new window) Facebook
  • Click to share on LinkedIn (Opens in new window) LinkedIn
  • Click to share on Pinterest (Opens in new window) Pinterest
  • Click to share on WhatsApp (Opens in new window) WhatsApp
  • Click to share on Reddit (Opens in new window) Reddit
  • Click to share on Pocket (Opens in new window) Pocket
  • Click to share on Mastodon (Opens in new window) Mastodon
  • Click to share on Threads (Opens in new window) Threads
  • Click to share on Bluesky (Opens in new window) Bluesky

Related


sages_adbutler_leaderboard

Hours & Info

11300 West Olympic Blvd, Suite 600
Los Angeles, CA 90064

1-310-437-0544

[email protected]

Monday – Friday
8am to 5pm Pacific Time

Find Us Around the Web!

  • Bluesky
  • X
  • Instagram
  • Facebook
  • YouTube

Copyright © 2025 · SAGES · All Rights Reserved

Important Links

Healthy Sooner: Patient Information

SAGES Guidelines, Statements, & Standards of Practice

SAGES Manuals