割腹自殺企図による尿管断裂に対して腹腔鏡下尿管尿管吻合術を施行した1例

Abstract

Ureteral injuries secondary to noniatrogenic trauma are uncommon. Only 2% to 3% of knife stab wounds to the abdomen result in ureteral injury. As a basic rule, ureteral stenting is mostly sufficient for small lesions, and only larger injuries require open reconstructive techniques. We did laparoscopic ureteroureterostomy of an isolated ureteral injury via retroperitoneal approach following a stab wound in a 59-year-old male. This is the first reported case of laparoscopic repair for ureteral injury following a stab wound in the Japanese literature.