Laparoscopic Extravesical Submucosal Tunneling Ureteroneocystostomy Combined with Psoas Hitch for Medium-Length Distal Ureteral Defects in Adults
| Autor: | Haisheng Cheng, Yiqin Lu, Ya-bing Wu, Jing-bo Liu, Huijie Gong, Yan-feng Li, Xuetao Ma, Lin-feng Dai, Zhen-qi Wu, Yong-ji Yan, Wenfeng Gao |
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| Rok vydání: | 2016 |
| Předmět: |
Adult
Male medicine.medical_specialty Urology Urinary system medicine.medical_treatment Operative Time Psoas hitch 030232 urology & nephrology Urologic Surgical Procedure 03 medical and health sciences 0302 clinical medicine Blood loss medicine Humans Ureteral Diseases Laparoscopy Psoas Muscles medicine.diagnostic_test business.industry Perioperative Symptomatic relief Laser lithotripsy Surgery Cystostomy Treatment Outcome 030220 oncology & carcinogenesis Urologic Surgical Procedures Female Ureter business Ureteral Obstruction |
| Zdroj: | Urologia Internationalis. 98:343-349 |
| ISSN: | 1423-0399 0042-1138 |
| DOI: | 10.1159/000454735 |
| Popis: | Objective: This study aims to describe the technique and feasibility of laparoscopic submucosal tunneling ureteroneocystostomy in combination with psoas hitch to restore urinary tract continuity in patients showing medium-length distal ureteral defects. Materials and Methods: From January 2012 to April 2016, a total of 13 patients (4 males and 9 females) with a mean age of 37 years were performed with the laparoscopic operation of ureteral submucosal tunneling reimplantation combined with psoas hitch. The mean defective length was 5.5 cm (range 4-8 cm). The etiologies included ureteral strictures secondary to endoscopic laser lithotripsy in 2 patients, previous gynecological surgeries in 4, infiltrative ureteral endometriosis in 3, as well as ureteral strictures without obvious causes in the remaining 4. Results: The operations were successfully performed in all patients. The mean operating time was 179 min (range 150-230 min). The mean estimated blood loss was 32 mL (range 15-80 mL). The mean drainage time was 5.8 days (range 4-8 days). No major complications occurred during the perioperative period. The mean follow-up time was 25 months. All patients experienced symptomatic relief and showed good urine drainage. Conclusion: Extravesical submucosal tunneling ureteroneocystostomy combined with psoas hitch under laparoscopy is a feasible and effective option for medium-length distal ureteral defects in selected patients. |
| Databáze: | OpenAIRE |
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