Robotic-assisted Laparoscopic Boari Flap Reconstruction for Middle and Distal Ureteral Stricture:Report of 22 Cases
10.3969/j.issn.1009-6604.2025.08.005
- VernacularTitle:机器人辅助腹腔镜下膀胱肌瓣代输尿管术治疗输尿管中下段狭窄22例
- Author:
Haibing LU
1
;
Yong WANG
1
;
Zhirong WANG
1
Author Information
1. 南京医科大学附属无锡人民医院泌尿外科 南京医科大学无锡医学中心,无锡 214000
- Publication Type:Journal Article
- Keywords:
Boari flap;
Ureteral stricture;
Robot;
Laparoscope
- From:
Chinese Journal of Minimally Invasive Surgery
2025;25(8):476-479
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the feasibility and safety of robotic-assisted laparoscopic Boari flap reconstruction for middle and distal ureteral stricture.Methods A retrospective study was made on 22 cases of middle and distal ureteral stricture between February 2019 and September 2022 in our department.The patients underwent DaVinci robotic-assisted laparoscopic middle and distal ureterectomy.Then flap of bladder was released and excised to perform Boari flap reconstruction for recuperating ureteral patency.Results The length of ureteral stricture ranged 7-10 cm(mean,9.3 cm).The operation time was 110-190 min(mean,132 min)and the intraoperative blood loss was50-150 ml(mean,87 ml).All the 22 cases were followed up for 12-44 months(mean,28 months).None of patients suffered from postoperative surgical side ureteral obstruction or vesicoureteral reflux.Conclusion Robotic-assisted laparoscopic Boari flap reconstruction for middle and distal ureteral stricture is safe and feasible,having definite therapeutic efficacy.
