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Robot-Assisted Ureteroplasty with Labial Mucosal Onlay Grafting for Long Left-Sided Proximal Ureteral Stenosis in Children and Adolescents: Technical Tips and Functional Outcomes.
Han, Ce; Ma, Lifei; Li, Pin; Yang, Yang; Wang, Jianan; Zhou, Xiaoguang; Tao, Tian; Zhao, Yang; Lyu, Xuexue; Zhuo, Ran; Zhou, Huixia.
Afiliación
  • Han C; Department of Pediatric Urology, Senior Department of Pediatrics, the Seventh Medical Center of PLA General Hospital, Beijing, China.
  • Ma L; Medical School of Chinese PLA, Beijing, China.
  • Li P; Department of Pediatric Urology, Senior Department of Pediatrics, the Seventh Medical Center of PLA General Hospital, Beijing, China.
  • Yang Y; Department of Pediatric Urology, Senior Department of Pediatrics, the Seventh Medical Center of PLA General Hospital, Beijing, China.
  • Wang J; Medical School of Chinese PLA, Beijing, China.
  • Zhou X; Surgical Intensive Care Unit, the Second Medical Center of PLA General Hospital, Beijing, China.
  • Tao T; Department of Pediatric Urology, Senior Department of Pediatrics, the Seventh Medical Center of PLA General Hospital, Beijing, China.
  • Zhao Y; Department of Pediatric Urology, Senior Department of Pediatrics, the Seventh Medical Center of PLA General Hospital, Beijing, China.
  • Lyu X; Department of Pediatric Urology, Senior Department of Pediatrics, the Seventh Medical Center of PLA General Hospital, Beijing, China.
  • Zhuo R; Department of Pediatric Urology, Senior Department of Pediatrics, the Seventh Medical Center of PLA General Hospital, Beijing, China.
  • Zhou H; Medical School of Chinese PLA, Beijing, China.
J Endourol ; 38(3): 262-269, 2024 Mar.
Article en En | MEDLINE | ID: mdl-38205660
ABSTRACT

Purpose:

To evaluate functional outcomes of robot-assisted ureteroplasty with labial mucosa grafting for long proximal ureteral stenosis (LPUS) in children and adolescents.

Methods:

Included in this study were 15 patients who underwent robot-assisted ureteroplasty with labial mucosal grafting in our center between July 2017 and September 2021. The left affected stenotic ureter was repaired using labial mucosal grafting. If the ureter was simply strictured but not obliterated, the ureter was spatulated longitudinally along the ventral side and the labial mucosa graft was interposed and anastomosed in a continuous manner. Faced with the obliterated segment, it was excised and the spatulated portion re-anastomosed with a pelvic flap as the dorsal wall. The labial mucosa graft was placed as the ventral wall. The preoperative clinical data and follow-up outcomes were collected and evaluated.

Results:

Labial mucosa graft onlay ureteroplasty was well performed in all the 15 patients with no occurrence of intraoperative complications or surgical conversion. Five patients underwent an onlay ureteroplasty, and 10 patients underwent a dorsally augmented pelvic flap anastomotic ureteroplasty. The mean (range) stricture length was 7.1 (3-10) cm. The mean operative time was 371.2 (216-480) minutes, and the median blood loss was 40 mL. At the median follow-up of 35 months (range 12-58 months), the overall success rate was 93.3%.

Conclusions:

Labial mucosa grafting appears to be safe and feasible for repairing long ureteral strictures in pediatric and adolescent patients. Our experience may provide beneficial references and conveniences to solve complex problems in LPUS. This study was approved by the institutional review board, and written informed consent was obtained from each participant (ethics number 2017-30).
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Uréter / Obstrucción Ureteral / Robótica Límite: Adolescent / Child / Humans Idioma: En Revista: J Endourol Asunto de la revista: UROLOGIA Año: 2024 Tipo del documento: Article País de afiliación: China Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Uréter / Obstrucción Ureteral / Robótica Límite: Adolescent / Child / Humans Idioma: En Revista: J Endourol Asunto de la revista: UROLOGIA Año: 2024 Tipo del documento: Article País de afiliación: China Pais de publicación: Estados Unidos