Efficacy of laparoscopic urinary tract reconstruction with intraoperative retrograde ureteroscopy-assisted technique for treatment of complex ureteral stricture.
10.11817/j.issn.1672-7347.2019.190231
- Author:
Yuhang LIU
1
;
Xiang CHEN
1
;
Yao HE
1
;
Bo ZHANG
1
;
Zhi CHEN
1
;
Yongchao DU
1
;
Yong LI
2
Author Information
1. Department of Urology, Xiangya Hospital, Centrd South University, Changsha 410008, China.
2. Department of Urology, Second Affiliated Hospital, University of South China, Hengyang Hunan 421000, China.
- Publication Type:Journal Article
- MeSH:
Constriction, Pathologic;
Humans;
Laparoscopy;
Retrospective Studies;
Ureteral Obstruction;
diagnostic imaging;
Ureteroscopy
- From:
Journal of Central South University(Medical Sciences)
2019;44(7):795-800
- CountryChina
- Language:Chinese
-
Abstract:
To investigate the feasibility and clinical effects of the laparoscopic urinary tract reconstruction with intraoperative retrograde ureteroscopy-assisted technique for the treatment of complex ureteral stricture.
Methods: The clinical data of 16 patients with complicated ureteral stricture treated by the laparoscopic urinary tract reconstruction with intraoperative retrograde ureteroscopy-assisted technique from February 2016 to June 2018 were retrospectively analyzed. All 16 patients were iatrogenic stenosis. There were 4 cases of severe hydronephrosis in the affected side, 7 cases of moderate hydronephrosis, and 5 cases of mild hydronephrosis. According to the specific location and length of the ureteral stricture, the corresponding surgical method was selected.
Results: All patients successfully completed the operation without conversion to open surgery and organ injury. After the operation, the patients were followed up for 8-18 months. The hydronephrosis of all patients was relieved to varying degrees, and no ureteral restenosis occurred.
Conclusion: The laparoscopic urinary tract reconstruction with intraoperative retrograde ureteroscopy-assisted technique can accurately locate the stenosis segment, test the anastomosis effect, expand the inflammatory stenosis, and improve the end-to-end anastomosis of the distal ureteral stricture, which is a new and effective technique for the treatment of complex ureteral strictures.
