Treatment of ureteral tunnel in laparoscopy radical hysterectomy

Fei Li, Can-Can Wang, Hong-Bo Li, Qian Sun, Wei Zheng

Abstract

We introduce an approach for making a ureteral tunnel with the aim of illustrating the importance of finding the tunnel dissection of the tissue spaces. The key to radical hysterectomy is identifying the tissue space that naturally exists between tissues rather than clamping a manual tunnel. For example, the urogenital sinus and Müllerian duct are very near each other; however, they never completely merge together. The method for finding the tunnel and avoiding the manual clamping of tunnels will maximally reduce intraoperative bleeding. Furthermore, the instructional significance of the surgery makes this technique worthy of promotion. Its main aspects include finding the gap, reducing or eliminating tunnel bleeding, and reducing collateral damage.