Robot-assisted laparoscopic buccal mucosa replacement for ureteroplasty in the treatment of complex upper ureteral strictures
10.3760/cma.j.issn.1000-6702.2018.06.008
- VernacularTitle:颊黏膜替代法在机器人辅助输尿管上段狭窄手术中的应用
- Author:
Guangju GE
1
;
Gonghui LI
;
Shibin ZHU
;
Mingchao WANG
;
Zhenghui WANG
Author Information
1. 浙江大学医学院附属邵逸夫医院泌尿外科
- Keywords:
Buccal mucosa;
Ureteral stricture;
Robot;
Laparoscopy
- From:
Chinese Journal of Urology
2018;39(6):433-436
- CountryChina
- Language:Chinese
-
Abstract:
Objective To discuss the feasibility,safety and efficacy of robot-assisted laparoscopic buccal mucosal ureteroplasty in the treatment of long segment upper ureteral stricture.Methods Five patients with complex ureteral strictures were treated with robot-assisted laparoscopic buccal mucosa ureteroplasty (5 males;right side,2 cases;left side,3 cases) in our hospital from March to July of 2017.The patients aged 25-40 years with median of 35 years old.The median body mass index was 23.5 kg/m2 (19-29 kg/m2).Data of surgical conditions,postoperative complications,and follow-up were collected.Results All patients were treated with robot-assisted laparoscopic buccal mucosa ureteroplasty and the operations were uneventful.The median length of stricture of upper ureter were 3 cm (2-6 cm).The median operation time was 360 min (200-400 min),median blood loss was 100 ml (50-200 ml),drainage tube retained time was 5 d(2-9 d),post-operative hospital stay was 11 d(7-12 d),and the median creatinine value was 85 μmol/L (76-98 μmol/L).No urine leakage,infection,buccal mucosa necrosis or other serious complications occurred after surgery.Five patients' CT examnation showed improved hydronephrosis 3 weeks post-operatively.DJ stent was removed 3 months after surgery in 2 patients,and 1 patient presented with no hydronephrosis,another one with mild hydronephrosis.DJ stent was removed 6 months after surgery in the other 3 patients with improved hydronephrosis.Conclusions Robot-assisted laparoscopic buccal mucosal ureteroplasty for the treatment of long segment upper ureteral stricture is a safe and feasible procedure,with a good short-term effectiveness and without severe complications.
