Robotic-assisted laparoscopic Boari flap ureteroplasty for ureteral strictures after kidney transplantation
10.3760/cma.j.issn.1000-6702.2018.12.013
- VernacularTitle:机器人辅助腹腔镜膀胱瓣成形输尿管吻合术治疗移植肾输尿管狭窄的临床分析
- Author:
Enhui LI
1
;
Haibin WEI
;
Qi ZHANG
;
Feng LIU
;
Xiaolong QI
;
Zhihui XU
;
Weiwen YU
;
Xiang HE
;
Dahong ZHANG
Author Information
1. 浙江省人民医院杭州医学院附属人民医院泌尿外科
- Keywords:
Kidney transplantation;
Ureteral stricture;
Robot;
Laparoscopy;
Boari flap plasty
- From:
Chinese Journal of Urology
2018;39(12):940-944
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the clinical efficacy and safety of robotic-assisted laparoscopic Boari flap ureteroplasty for ureteral strictures after kidney transplantation.Methods The clinical data of 2 patients with ureteral stricture after kidney transplantation in our department from May 2017 to September 2017 were retrospectively analyzed.All 2 cases were male.Case 1 was 73 years old and the transplanted kidney was located in the left iliac fossa.The patient was hospitalized due to still recurrent fever with longterm retention of nephrostomy tube because of hydronephrosis with repeated urinary tract infection after calculi surgery.Case 2 was 62 years old and the transplanted kidney was located in the right iliac fossa.The patient was hospitalized due to hydronephrosis and ureteral calculi after calculi surgery.All 2 cases were treated by robotic-assisted laparoscopic Boari flap ureteroplasty.The operative and postoperative complications were recorded and the postoperative examination data were collected.Results The operation time of the 2 cases were 165min and 189min,and the bleeding amount were 50ml and 100ml respectively.No urinary leakage,renal colic,high fever and other complications occurred.In case 1,nephrostomy tube was removed 8d after operation.The urinary catheters were removed 14d after operation in the 2 cases.The postoperative hospital day was 9d and 6d respectively.CT examination was performed 3 months after surgery.Compared with preoperative,case 1 had no significant change in hydronephrosis and the hydronephrosis of case 2 obviously relieved.In case 1,double J tube was removed in 3 months after operation.In case 2,double J tube was replaced in 3 months after operation and was removed after 3 months.2 patients were followed up to 18 months and 14 months after operation,respectively.Nohydronephrosis aggravated.Conclusions Robotic-assisted laparoscopic Boari flap ureteroplasty is a safe and effective treatment for ureteral strictures after kidney transplantation.It has the advantages of small trauma,quick recovery,exact effect and few complications.
