Robotic lower-lip mucosal graft ureteroplasty for ureteral stenosis longer than 2 cm: initial experience of thirteen patients.

IF 1.6 4区医学 Q2 SURGERY Frontiers in Surgery Pub Date : 2024-12-06 eCollection Date: 2024-01-01 DOI:10.3389/fsurg.2024.1504867

Zhaolin Zhang, Xin Zeng, Yuting Wu, Gengqing Wu, Zhihua He, Guoxi Zhang, Xiaofeng Zou, Yuanhu Yuan, Hui Xu

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引用次数: 0

Abstract

Objectives: To present our initial experience of robotic ureteroplasty with lower-lip mucosal graft (LLMG) for treating ureteral stenosis longer than 2 cm and evaluate its feasibility and efficacy.

Materials and methods: A total of thirteen patients with ureteral stenosis who underwent robotic ureteroplasty with LLMG were retrospectively analyzed. After identification and dissection of the ureteral stenosis segment, the segment was incised longitudinally. Then, the LLMG was harvested according to the characteristics of stenosis and sutured with the ureter in onlay fashion. All procedures were completed successfully.

Result: The median stenosis length was 3.5 cm (ranged: 3.0-4.5 cm). The mean length and width of the LLMG were 3.81 ± 0.60 cm and 1.27 ± 0.26 cm, respectively. The mean operative time and anastomosis time were 212.31 ± 23.06 min and 36.54 ± 6.58 min, respectively. The double-J stent was removed at 8 weeks postoperatively in all patients. Three patients (23.1%) suffered postoperative complications during the follow-up period (range, 6-18 months), including fever, urinary tract infection and stenosis recurrence. The success rate was 92.3% (12/13).

Conclusion: Robotic ureteroplasty with LLMG is a safe and feasible technique for treating ureteral stenosis.

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来源期刊

Frontiers in Surgery Medicine-Surgery

CiteScore

1.90

自引率

11.10%

发文量

1872

审稿时长

12 weeks

期刊介绍： Evidence of surgical interventions go back to prehistoric times. Since then, the field of surgery has developed into a complex array of specialties and procedures, particularly with the advent of microsurgery, lasers and minimally invasive techniques. The advanced skills now required from surgeons has led to ever increasing specialization, though these still share important fundamental principles. Frontiers in Surgery is the umbrella journal representing the publication interests of all surgical specialties. It is divided into several “Specialty Sections” listed below. All these sections have their own Specialty Chief Editor, Editorial Board and homepage, but all articles carry the citation Frontiers in Surgery. Frontiers in Surgery calls upon medical professionals and scientists from all surgical specialties to publish their experimental and clinical studies in this journal. By assembling all surgical specialties, which nonetheless retain their independence, under the common umbrella of Frontiers in Surgery, a powerful publication venue is created. Since there is often overlap and common ground between the different surgical specialties, assembly of all surgical disciplines into a single journal will foster a collaborative dialogue amongst the surgical community. This means that publications, which are also of interest to other surgical specialties, will reach a wider audience and have greater impact. The aim of this multidisciplinary journal is to create a discussion and knowledge platform of advances and research findings in surgical practice today to continuously improve clinical management of patients and foster innovation in this field.