{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T19:02:02Z","timestamp":1781290922811,"version":"3.54.1"},"reference-count":27,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2023,5,30]],"date-time":"2023-05-30T00:00:00Z","timestamp":1685404800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Colorectal Disease"],"published-print":{"date-parts":[[2023,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>The long\u2010term urological sequelae after iatrogenic ureteral injury (IUI) during colorectal surgery are not clearly known. The aims of this work were to report the incidence of IUI and to analyse the long\u2010term consequences of urological late complications and their impact on oncological results\u00a0of IUI occurring during colorectal surgery through a French multicentric experience (GRECCAR group).<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>All the patients who presented with IUI during colorectal surgery between 2010 and 2019 were retrospectively included. Patients with ureteral involvement needing <jats:italic>en bloc<\/jats:italic> resection, delayed ureteral stricture or noncolorectal surgery were not considered.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 202 patients (93 men, mean age 63\u2009\u00b1\u200914\u2009years) were identified in 29 centres, corresponding to 0.32% of colorectal surgeries (<jats:italic>n<\/jats:italic>\u2009=\u200963\u2009562). Index colorectal surgery was mainly oncological (<jats:italic>n<\/jats:italic>\u2009=\u2009130, 64%). IUI was diagnosed postoperatively in 112 patients (55%) after a mean delay of 11\u2009\u00b1\u20099\u2009days. Intraoperative diagnosis of IUI was significantly associated with shorter length of stay (21\u2009\u00b1\u200922\u2009days vs. 34\u2009\u00b1\u200922\u2009days, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.0001), lower rates of postoperative hydronephrosis (2% vs. 10%, <jats:italic>p<\/jats:italic>\u2009=\u20090.04), anastomotic complication (7% vs. 22.5%, <jats:italic>p<\/jats:italic>\u2009=\u20090.002) and thromboembolic event (0% vs. 6%, <jats:italic>p<\/jats:italic>\u2009=\u20090.02) than postoperative diagnosis of IUI. Delayed chemotherapy because of IUI was reported in 27% of patients. At the end of the follow\u2010up [3\u2009\u00b1\u20092.6\u2009years (1\u2009month\u201313\u2009years)], 72 patients presented with urological sequalae (36%). Six patients (3%) required a nephrectomy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>IUI during colorectal surgery has few consequences for the patients if recognized early. Long\u2010term urological sequelae can occur in a third of patients. IUI may affect oncological outcomes in colorectal surgery by delaying adjuvant chemotherapy, especially when the ureteral injury is not diagnosed peroperatively.<\/jats:p><\/jats:sec>","DOI":"10.1111\/codi.16630","type":"journal-article","created":{"date-parts":[[2023,5,31]],"date-time":"2023-05-31T05:41:56Z","timestamp":1685511716000},"page":"1433-1445","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Iatrogenic ureteral injury during colorectal surgery has a significant impact on patient outcomes: a French multicentric retrospective cohort study"],"prefix":"10.1111","volume":"25","author":[{"given":"Victor","family":"S\u00e9r\u00e9non","sequence":"first","affiliation":[{"name":"Department of Digestive Surgery, Assistance Publique H\u00f4pitaux de Marseille Timone Hospital, Aix Marseille University  Marseille France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philippe","family":"Rouanet","sequence":"additional","affiliation":[{"name":"Department of Digestive Surgery Cancer Institute of Montpellier  Montpellier France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diane","family":"Charleux\u2010Muller","sequence":"additional","affiliation":[{"name":"Department of Digestive Surgery Strasbourg University Hospital  Strasbourg France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Clarisse","family":"Eveno","sequence":"additional","affiliation":[{"name":"Department of Digestive Surgery Lille University Hospital  Lille France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karine","family":"Poirot","sequence":"additional","affiliation":[{"name":"Department of Digestive Surgery Clermont\u2010Ferrand University Hospital  Clermont\u2010Ferrand France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2403-462X","authenticated-orcid":false,"given":"Bertrand","family":"Trilling","sequence":"additional","affiliation":[{"name":"Department of Digestive Surgery Grenoble University Hospital  Grenoble France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"St\u00e9phane","family":"Benoist","sequence":"additional","affiliation":[{"name":"Department of Digestive Surgery, Assistance Publique H\u00f4pitaux de Paris Bic\u00eatre Hospital  Le Kremlin\u2010Bic\u00eatre France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0783-8688","authenticated-orcid":false,"given":"Gilles","family":"Manceau","sequence":"additional","affiliation":[{"name":"Department of Digestive Surgery, Assistance Publique H\u00f4pitaux de Paris Georges\u2010Pompidou European Hospital  Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yves","family":"Panis","sequence":"additional","affiliation":[{"name":"Department of Digestive Surgery, Assistance Publique H\u00f4pitaux de Paris Beaujon Hospital  Clichy France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arnaud","family":"Alves","sequence":"additional","affiliation":[{"name":"Registre des Cancers Digestifs, Unit\u00e9 INSERM 1086 ANTICIPE, Department of Digestive Surgery, Caen University Hospital University Caen Normandy  Caen France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alex","family":"Kartheuser","sequence":"additional","affiliation":[{"name":"Department of Digestive Surgery University Clinics Saint\u2010Luc  Bruxelles Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aur\u00e9lien","family":"Venara","sequence":"additional","affiliation":[{"name":"Department of Digestive Surgery Angers University Hospital  Angers France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marc","family":"Pocard","sequence":"additional","affiliation":[{"name":"Department of Digestive Surgery, Hepato\u2010Biliary\u2010pancreatic Gastrointestinal Surgery and Liver Transplantation Piti\u00e9 Salp\u00eatri\u00e8re Hospital  Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charles","family":"Sabbagh","sequence":"additional","affiliation":[{"name":"Department of Digestive Surgery Amiens University Hospital  Amiens France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana\u00efs","family":"Laforest","sequence":"additional","affiliation":[{"name":"Department of Digestive Surgery Institut Mutualiste Montsouris  Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zaher","family":"Lakkis","sequence":"additional","affiliation":[{"name":"Department of Digestive Surgery Besan\u00e7on University Hospital  Besan\u00e7on France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4608-8960","authenticated-orcid":false,"given":"Bogdan","family":"Badic","sequence":"additional","affiliation":[{"name":"Department of Digestive Surgery Brest University Hospital  Brest France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Am\u00e9lie","family":"Chau","sequence":"additional","affiliation":[{"name":"Department of Digestive Surgery H\u00e9nin\u2010Beaumont Hospital  Hauts\u2010de\u2010France France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2125-0503","authenticated-orcid":false,"given":"Niki","family":"Christou","sequence":"additional","affiliation":[{"name":"Department of Digestive Surgery Limoges University Hospital  Limoges France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Beyer\u2010Berjot","sequence":"additional","affiliation":[{"name":"Department of Digestive Surgery, Assistance Publique H\u00f4pitaux de Marseille North Hospital  Marseille France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frederic","family":"Dumont","sequence":"additional","affiliation":[{"name":"Department of Digestive Surgery Cancer Institute of West  Saint\u2010Herblain France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8076-3742","authenticated-orcid":false,"given":"Adeline","family":"Germain","sequence":"additional","affiliation":[{"name":"Department of Digestive Surgery Nancy University Hospital  Nancy France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alain","family":"Valverde","sequence":"additional","affiliation":[{"name":"Department of Digestive Surgery Diaconesses Croix Saint Simon Hospital  Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emilie","family":"Duchalais","sequence":"additional","affiliation":[{"name":"Department of Digestive Surgery Nantes University Hospital  Nantes France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mehdi","family":"Ouaissi","sequence":"additional","affiliation":[{"name":"Department of Digestive Surgery Tours University Hospital  Tours France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leonor","family":"Benhaim","sequence":"additional","affiliation":[{"name":"Department of Digestive Surgery Gustave Roussy Institute  Villejuif France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7882-6860","authenticated-orcid":false,"given":"Maxime","family":"Collard","sequence":"additional","affiliation":[{"name":"Department of Digestive Surgery, Assistance Publique H\u00f4pitaux de Paris Saint\u2010Antoine Hospital  Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean\u2010Jacques","family":"Tuech","sequence":"additional","affiliation":[{"name":"Department of Digestive Surgery, Rouen University Hospital Charles Nicolle Hospital  Rouen France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Etienne","family":"Buscail","sequence":"additional","affiliation":[{"name":"Department of Digestive Surgery Toulouse University Hospital  Toulouse France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7556-6362","authenticated-orcid":false,"given":"Diane","family":"Mege","sequence":"additional","affiliation":[{"name":"Department of Digestive Surgery, Assistance Publique H\u00f4pitaux de Marseille Timone Hospital, Aix Marseille University  Marseille France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"the French Research Group of Rectal Cancer Surgery (GRECCAR)","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,5,30]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/codi.14552"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.4111\/kju.2012.53.11.795"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2004.11.016"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/DCR.0000000000000033"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-014-3814-1"},{"issue":"2014","key":"e_1_2_12_7_1","article-title":"Ureteral injury after laparoscopic versus open colectomy","volume":"18","author":"Zafar SN","year":"2014","journal-title":"JSLS"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)67075-7"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(01)66332-8"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11255-004-7970-4"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.2298\/SARH1504162B"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2015.06.065"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1159\/000360294"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02555631"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.2011.2029"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1177\/000313481408001223"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.sla.0000133083.54934.ae"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(07)61602-X"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLE.0000000000000335"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-020-07714-1"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.1177\/1457496913482247"},{"key":"e_1_2_12_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jss.2018.09.041"},{"key":"e_1_2_12_23_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00384-019-03314-1"},{"key":"e_1_2_12_24_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-018-6219-8"},{"key":"e_1_2_12_25_1","doi-asserted-by":"publisher","DOI":"10.1111\/codi.15407"},{"key":"e_1_2_12_26_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm11020368"},{"key":"e_1_2_12_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2020.11.052"},{"key":"e_1_2_12_28_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2011.749"}],"container-title":["Colorectal Disease"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/codi.16630","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,2,3]],"date-time":"2024-02-03T02:00:55Z","timestamp":1706925655000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/codi.16630"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,5,30]]},"references-count":27,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2023,7]]}},"alternative-id":["10.1111\/codi.16630"],"URL":"https:\/\/doi.org\/10.1111\/codi.16630","archive":["Portico"],"relation":{},"ISSN":["1462-8910","1463-1318"],"issn-type":[{"value":"1462-8910","type":"print"},{"value":"1463-1318","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,5,30]]},"assertion":[{"value":"2022-12-03","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-04-13","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-05-30","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}