Robot-assisted laparoscopic ureteroneocystostomy in adults: A single surgeon experience and literature review
| Autor: | Shaogang Wang, Najib Isse Dirie |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Urinalysis medicine.diagnostic_test business.industry Psoas hitch 030232 urology & nephrology Renal ultrasound Ureteroneocystostomy Renal function Outcomes Perioperative Robot-assisted lcsh:Diseases of the genitourinary system. Urology lcsh:RC870-923 Single surgeon Surgery 03 medical and health sciences 0302 clinical medicine Ureteral dilatation 030220 oncology & carcinogenesis Medicine Original Article Radical Hysterectomy business |
| Zdroj: | Asian Journal of Urology Asian Journal of Urology, Vol 7, Iss 1, Pp 37-44 (2020) |
| ISSN: | 2214-3882 |
| DOI: | 10.1016/j.ajur.2019.10.005 |
| Popis: | Object The literature regarding robot-assisted ureteroneocystostomy (RAUN) in adults is still limited; perhaps due to the rarity of the lower ureteral diseases. In this study, we present our experience and technique with RAUN procedure in adults. Methods Between February 2015 and August 2018, a total of 30 (34 ureters) patients who underwent RAUN surgery under a single surgeon were retrospectively reviewed. Perioperative data such as age, sex, BMI, American society of anesthesiologists (ASA) score, estimated blood loss (EBL), surgical technique, operative time, complications, length of hospital stay (LOS), and stent removal time were recorded. During the follow-up, patients underwent renal function test, urinalysis, and renal ultrasound examination for evaluation. Success was defined as symptomatic and radiologic relieve. Lastly, a literature search was conducted to review all published articles regarding RAUN surgery in adults. Results The patients’ mean age, BMI, EBL, operative time, and follow-up period were 45.4 years, 23.1 kg/m2, 65.6 mL, 182.9 min, and 21.3 months, respectively. The two most common indications for the surgery were benign ureteral strictures and ureteric injuries secondary to a previous radical hysterectomy. Of the 34 cases, 26(76.5%) and 8 (23.5%) patients received primary RAUN and RAUN with psoas hitch technique, respectively. Refluxing RAUN method was performed in all cases. No intraoperative complications were found. Two patients had a radiologic and symptomatic recurrence; one was managed with a repeat surgery while the other received ureteral dilatation treatment. Conclusion Both our study and the published literature showed that RAUN is a safe, less invasive, and effective surgical technique that can easily replicate the open ureteroneocystostomy for managing lower ureteral diseases. |
| Databáze: | OpenAIRE |
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