Surgical Film Library-Mastering Duplex Ureters: A Guided Approach for Safer Radical Hysterectomies

Mastering Duplex Ureters: A Guided Approach for Safer Radical Hysterectomies

Video Transcription

Video Summary

A 37-year-old woman with stage 1b3 cervical cancer underwent radical hysterectomy with pelvic lymph node dissection. Preoperative ureteral stenting revealed an unexpected unilateral complete ureteral duplication, a rare congenital anomaly. During surgery, both ureters were carefully dissected together to avoid injury, especially during the challenging ureteral tunnel separation. Key surgical principles included identifying the ureters by peristalsis, considering bilateral duplication, and thorough intraoperative exploration if ureteral injury was suspected. The operation was successful with no complications, and the patient recovered well. Early recognition and meticulous technique are essential for safe surgery in cases with ureteral abnormalities.

Asset Subtitle

Mo Chen, China

Meta Tag

Procedure Type Radical Hysterectomy

Route MIS-Laparoscopic

Skill Level Intermediate

Surgical Location Pelvis

Keywords

MIS-Laparoscopic

Pelvis

Intermediate

Radical Hysterectomy

ureteral duplication

cervical cancer surgery

ureteral stenting

surgical technique

Mo Chen