Reflections on the surgical treatment of long-segment ureteral stricture：advantages and disadvantages of various autologous tissue reconstruction techniques and the choice between minimally invasive and open surgery
10.3969/j.issn.1009-8291.2025.04.002
- VernacularTitle:长段输尿管狭窄外科治疗思考：不同自体组织成形术的优劣及微创与开放的抉择
- Author:
Zhaowei ZHU
1
;
Pin ZHAO
1
;
Xuepei ZHANG
1
Author Information
1. Department of Urology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China
- Publication Type:Journal Article
- Keywords:
long-segment ureteral stricture;
laparoscopic surgery;
robot-assisted surgery;
urinary tract reconstruction;
autologous tissue reconstruction technique
- From:
Journal of Modern Urology
2025;30(4):279-283
- CountryChina
- Language:Chinese
-
Abstract:
Ureteral stricture is a common urological condition，whose treatment mainly depends on the etiology，location，number，and length of the stricture.For complex long-segment ureteral stricture，the main surgical procedures include endourological treatment，flap pyeloplasty，ureterocalicostomy，buccal mucosal ureteroplasty，lingual mucosal ureteroplasty，bladder mucosal ureteroplasty，appendiceal ureteroplasty，bladder flap ureteroplasty，and ileal ureter substitution ureteroplasty.Although open and laparoscopic surgeries are still prevalent，robotic surgery is gaining popularity due to its minimally invasive nature and precision.Based on the latest clinical advances and diagnostic and therapeutic experience of our team，we will systematically introduce the new surgical techniques and methods for the treatment of long-segment ureteral stricture from a clinical practical perspective.In addition，we will discuss the advantages and disadvantages of different autologous tissue reconstruction techniques，as well as the choices between minimally invasive and open surgery.
