{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,3,6]],"date-time":"2025-03-06T10:10:39Z","timestamp":1741255839271,"version":"3.38.0"},"reference-count":12,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,3,6]],"date-time":"2025-03-06T00:00:00Z","timestamp":1741219200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,3,6]],"date-time":"2025-03-06T00:00:00Z","timestamp":1741219200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Urol"],"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:p>Robotic-assisted laparoscopic nephroureterectomy (RALN) is a common approach for upper tract urothelial carcinoma (UTUC), offering advantages such as reduced morbidity and improved recovery. However, contralateral ureteral injury during bladder cuff excision is extremely rare and can be challenging to manage. We present the case of a 56-year-old male with low-grade urothelial carcinoma of the right renal pelvis who underwent RALN. Anatomical distortion during surgery led to misplacement of a surgical clip at the contralateral ureterovesical junction, resulting in obstruction and anuria. Urgent cystoscopy and ureteroneocystostomy with stent placement successfully restored ureteral function. This case highlights the importance of thorough preoperative planning, careful anatomical verification, and heightened intraoperative vigilance to prevent such rare complications in robotic surgery. Ensuring accurate identification of anatomical structures is crucial to avoid inadvertent injury, specifically in complex urologic oncology procedures.<\/jats:p>","DOI":"10.1186\/s12894-025-01729-3","type":"journal-article","created":{"date-parts":[[2025,3,6]],"date-time":"2025-03-06T09:03:50Z","timestamp":1741251830000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Preventing rare contralateral ureteral injury during robotic-assisted nephroureterectomy: lessons from a surgical complication"],"prefix":"10.1186","volume":"25","author":[{"given":"Yen","family":"Ho","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chung-Howe","family":"Lai","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kuan-Ting","family":"Lin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ke-Hsun","family":"Lin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Syuan-Hao","family":"Syu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,3,6]]},"reference":[{"key":"1729_CR1","doi-asserted-by":"publisher","unstructured":"Roupr\u00eat M, et al. *European Association of Urology Guidelines on Upper Urinary Tract Urothelial Carcinoma: 2017 Update* Eur Urol. 2018;73(1):111\u201322. https:\/\/doi.org\/10.1016\/j.eururo.2017.07.036.","DOI":"10.1016\/j.eururo.2017.07.036"},{"issue":"10","key":"1729_CR2","doi-asserted-by":"publisher","first-page":"1167","DOI":"10.1089\/end.2017.0340","volume":"31","author":"A Sood","year":"2018","unstructured":"Sood A, et al. *Robotic nephroureterectomy versus laparoscopic and open nephroureterectomy for upper tract urothelial carcinoma: A National Cancer database analysis**. J Endourol. 2018;31(10):1167\u201375. https:\/\/doi.org\/10.1089\/end.2017.0340.","journal-title":"J Endourol"},{"issue":"2","key":"1729_CR3","doi-asserted-by":"publisher","first-page":"273","DOI":"10.1016\/j.eururo.2013.07.021","volume":"65","author":"HG Van Der Poel","year":"2014","unstructured":"Van Der Poel HG, et al. *Learning curve and postoperative outcomes of robotic-assisted laparoscopic prostatectomy*. Eur Urol. 2014;65(2):273\u201380. https:\/\/doi.org\/10.1016\/j.eururo.2013.07.021.","journal-title":"Eur Urol"},{"issue":"3","key":"1729_CR4","doi-asserted-by":"publisher","first-page":"501","DOI":"10.5114\/wiitm.2021.108800","volume":"16","author":"R Watrowski","year":"2021","unstructured":"Watrowski R, et al. *Complications in laparoscopic and robotic-assisted surgery: definitions, classifications, incidence and risk factors - an up-to-date review*. Wideochirurgia I Inne Techniki Maloinwazyjne. 2021;16(3):501\u201325. https:\/\/doi.org\/10.5114\/wiitm.2021.108800.","journal-title":"Wideochirurgia I Inne Techniki Maloinwazyjne"},{"issue":"3","key":"1729_CR5","first-page":"335","volume":"14","author":"ME Moran","year":"2006","unstructured":"Moran ME. *Robotic surgery in urology: cancer and benign disease*. Cancer Control. 2006;14(3):335\u201342.","journal-title":"Cancer Control"},{"issue":"5","key":"1729_CR6","doi-asserted-by":"publisher","first-page":"1366","DOI":"10.1007\/s00464-009-0786-5","volume":"24","author":"CY Nguan","year":"2010","unstructured":"Nguan CY, et al. *Overcoming the lack of haptic feedback in robot-assisted surgery by using augmented visual cues*. 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Urology. 2014;84(2):294\u20138. https:\/\/doi.org\/10.1016\/j.urology.2014.04.017.","journal-title":"Urology"},{"key":"1729_CR9","doi-asserted-by":"publisher","first-page":"245","DOI":"10.1016\/j.urology.2019.09.056","volume":"136","author":"SN Ambani","year":"2020","unstructured":"Ambani SN, Skupin P, Malaeb BS, Barboglio-Romo P, Stoffel JT. Does early ureteroneocystostomy after iatrogenic ureteral injury jeopardize outcome?? Urology. 2020;136:245\u201350. https:\/\/doi.org\/10.1016\/j.urology.2019.09.056","journal-title":"Urology"},{"issue":"2","key":"1729_CR10","doi-asserted-by":"publisher","first-page":"172","DOI":"10.5527\/wjn.v5.i2.172","volume":"5","author":"L Hsu","year":"2016","unstructured":"Hsu L, Li H, Pucheril D, Hansen M, Littleton R, Peabody J, Sammon J. Use of percutaneous nephrostomy and ureteral stenting in management of ureteral obstruction. World J Nephrol. 2016;5(2):172\u201381. https:\/\/doi.org\/10.5527\/wjn.v5.i2.172","journal-title":"World J Nephrol"},{"issue":"10","key":"1729_CR11","doi-asserted-by":"publisher","first-page":"1672","DOI":"10.3390\/medicina60101672","volume":"60","author":"CS Lin","year":"2024","unstructured":"Lin CS, Lee JR, Chiu KY, Wang SS, Chen CS, Lin YJ, Che CC. Predictors of failed outcomes in ureteral reconstruction: A Real-World retrospective study. Med (Kaunas Lithuania). 2024;60(10):1672. https:\/\/doi.org\/10.3390\/medicina60101672","journal-title":"Med (Kaunas Lithuania)"},{"issue":"5","key":"1729_CR12","doi-asserted-by":"publisher","first-page":"566","DOI":"10.1016\/j.ajog.2015.10.150","volume":"214","author":"Z Lee","year":"2016","unstructured":"Lee Z, et al. *Prevention of iatrogenic ureteral injuries during robotic gynecologic surgery: a review*. Am J Obstet Gynecol. 2016;214(5):566\u201371. https:\/\/doi.org\/10.1016\/j.ajog.2015.10.150.","journal-title":"Am J Obstet Gynecol"}],"container-title":["BMC Urology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12894-025-01729-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12894-025-01729-3\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12894-025-01729-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,6]],"date-time":"2025-03-06T09:04:02Z","timestamp":1741251842000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmcurol.biomedcentral.com\/articles\/10.1186\/s12894-025-01729-3"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,3,6]]},"references-count":12,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2025,12]]}},"alternative-id":["1729"],"URL":"https:\/\/doi.org\/10.1186\/s12894-025-01729-3","relation":{},"ISSN":["1471-2490"],"issn-type":[{"value":"1471-2490","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,3,6]]},"assertion":[{"value":"1 December 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"27 February 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"6 March 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"This case report was approved by the Taipei Medical University-Joint Institutional Review Board (TMU-JIRB) under expedited review (approval number: N202411015). Approval is valid from November 14, 2024, to November 13, 2025. Based on the nature of the study, the TMU-JIRB has granted a waiver of informed consent, as no identifiable patient information is included, and the study presents minimal risk to the subject.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Although the TMU-JIRB has waived the need for informed consent, written informed consent for publication of this case report, including accompanying images, was obtained from the patient to comply with ethical standards.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"43"}}