Efficacy of laparoscopic papillary ureterovesical replantation
10.3969/j.issn.1009-8291.2025.08.007
- VernacularTitle:腹腔镜下乳头植入式输尿管膀胱再植术疗效分析("大家泌尿网"观看手术视频)
- Author:
Hua PENG
1
;
Jingyi CAO
1
;
Qian WANG
1
;
Jie ZHOU
1
;
Qichao WANG
1
Author Information
1. 徐州市肿瘤医院泌尿外科,江苏徐州 221000
- Publication Type:Journal Article
- Keywords:
papillary ureterovesical replantation;
lower ureteral lesions;
laparoscope
- From:
Journal of Modern Urology
2025;30(8):675-679
- CountryChina
- Language:Chinese
-
Abstract:
Objective To share our experience of laparoscopic papillary ureterovesical replantation,so as to provide reference for the treatment of patients with lower ureteral lesions.Methods A retrospective analysis was conducted on 22 patients treated in our hospital during 2019 and 2024,including 12 cases of lower ureteral stenosis,3 cases of congenital macroureter,2 cases of terminal ureteral tumor,3 cases of bladder diverticulum,and 2 cases of ureterovaginal fistula.The operation time,intraoperative blood loss,drainage tube removal time,urinary catheter removal time,postoperative hospital stay,DJ tube removal time and occurrence of postoperative complications were statistically analyzed.Results All operations were successfully completed.The operation time(156.73±36.73)minutes,the intraoperative blood loss(35.64±11.47)mL,the drainage tube removal time(7.14±1.77)days,the catheter removal time(10.05±2.73)days,the postoperative hospital stay(13.04±3.79)days,and the DJ tube removal time(69.91±9.35)days.During the follow-up of 3 to 24 months,re-examinations such as B ultrasound and urography indicated no obvious ureterovesical anastomotic stenosis;cystography showed one patient had ureteral reflux.After long-term follow-up,no renal function impairment or ureteral reflux was observed.Conclusion The papillary ureterovesical replantation is safe,effective,simple and easy to operate in the treatment of lower ureteral lesions.It also has characteristics of short operation time and good anti-reflux effect,which is worthy of clinical recommendation.
