A Comparison of Robot-Assisted Laparoscopic Ureteral Reimplantation and Conventional Laparoscopic Ureteral Reimplantation for the Management of Benign Distal Ureteral Stricture
Urology Journal,
Vol. 17 No. 3 (2020),
16 Ordibehesht 2020
,
Page 252-256
https://doi.org/10.22037/uj.v17i3.5478
Abstract
Purpose: To describe our experience and analyze the outcomes of robot-assisted laparoscopic ureteral reimplantation (RALUR) and conventional laparoscopic ureteral reimplantation (LUR) in treating benign distal ureteral stricture (DUS).Material and Methods: Patients who underwent RALUR or LUR for DUS were retrospectively analyzed. All surgeries were performed by transperitoneal approach in a refluxing manner. Baseline characteristics, history of previous abdominal surgery, operative profile and follow-up data were collected and analyzed.
Results: Among 68 patients with DUS, 62 were diagnosed with unilateral DUS, including 28 patients underwent RALUR. The mean operative time of the RALUR group was 2.44 ± .45 hours, while the mean operative time of the LUR group was 3.09 ± .74 hours (P < .001). The average suturing time of LUR (39.59 ± 3.78 min) is about 2 times that of RALUR (20.04 ± 3.5 min) (P < .001). The success rate of the RALUR group and the LUR group were 89.3% and 82.4% respectively (P = .494). In multiple linear regression model, the modality of surgery was the only variable that influences operative time (Beta = -.964, P < .001), suturing time (Beta = -1.899, P < .001) and hemoglobin decline (Beta = -.611, P = .020).
Conclusion: Basically, the postoperative outcomes are similar but robotic surgery offers a quicker surgery and anastomosis.
- anastomosis
- laparoscopy
- robotic surgical procedures
- ureteral obstruction
How to Cite
References
H. Riedmiller, E. Becht, L. Hertle, G. Jacobi, R. Hohenfellner. Psoas-hitch ureteroneocystostomy: experience with 181 cases. Eur Urol. 1984;10:145-50.
A. Atala, L. R. Kavoussi, D. S. Goldstein, A. B. Retik, C. A. Peters. Laparoscopic correction of vesicoureteral reflux. J Urol. 1993;150:748-51.
M. N. Simmons, I. S. Gill, A. F. Fergany, J. H. Kaouk, M. M. Desai. Laparoscopic ureteral reconstruction for benign stricture disease. Urology. 2007;69:280-4.
S. I. Kozinn, D. Canes, A. Sorcini, A. Moinzadeh. Robotic versus open distal ureteral reconstruction and reimplantation for benign stricture disease. J Endourol. 2012;26:147-51.
J. J. Rassweiler, A. S. Gozen, T. Erdogru, M. Sugiono, D. Teber. Ureteral reimplantation for management of ureteral strictures: a retrospective comparison of laparoscopic and open techniques. Eur Urol. 2007;51:512-22; discussion 522-3.
V. T. Packiam, A. J. Cohen, C. U. Nottingham, J. J. Pariser, S. F. Faris, G. T. Bales. Open Vs Minimally Invasive Adult Ureteral Reimplantation: Analysis of 30-day Outcomes in the National Surgical Quality Improvement Program (NSQIP) Database. Urology. 2016;94:123-8.
FX Jr Keeley, M. Bibbo, D. H. Bagley. Ureteroscopic treatment and surveillance of upper urinary tract transitional cell carcinoma. J Urol. 1997;157:1560-5.
A. Ostrzenski, B. Radolinski, K. M. Ostrzenska. A review of laparoscopic ureteral injury in pelvic surgery. Obstet Gynecol Surv. 2003;58:794-9.
C. M. Lin, T. H. Tsai, T. C. Lin,et al. Holmium: yttrium-aluminum-garnet laser endoureterotomy for benign ureteral strictures: a single-centre experience. Acta Chir Belg. 2009;109:746-50.
C. G. Stief, U. Jonas, K. U. Petry,et al. Ureteric reconstruction. BJU Int. 2003;91:138-42.
M. C. Benson, K. S. Ring, C. A. Olsson. Ureteral reconstruction and bypass: experience with ileal interposition, the Boari flap-psoas hitch and renal autotransplantation. J Urol. 1990;143:20-3.
J. H. Kaouk, I. S. Gill. Laparoscopic reconstructive urology. J Urol. 2003;170:1070-8.
R. M. Ehrlich, A. Gershman, G. Fuchs. Laparoscopic vesicoureteroplasty in children: initial case reports. Urology. 1994;43:255-61.
P. K. Reddy, R. M. Evans. Laparoscopic ureteroneocystostomy. J Urol. 1994;152:2057-9.
C. A. Seideman, C. Huckabay, K. D. Smith,et al. Laparoscopic ureteral reimplantation: technique and outcomes. J Urol. 2009;181:1742-6.
K. Baldie, J. Angell, K. Ogan, N. Hood, J. G. Pattaras. Robotic management of benign mid and distal ureteral strictures and comparison with laparoscopic approaches at a single institution. Urology. 2012;80:596-601.
M. Ahn, K. R. Loughlin. Psoas hitch ureteral reimplantation in adults--analysis of a modified technique and timing of repair. Urology. 2001;58:184-7.
P. A. Androulakakis, A. A. Stefanidis, D. K. Karamanolakis, V. Moutzouris, G. Koussidis. The long-term outcome of bilateral Cohen ureteric reimplantation under a common submucosal tunnel. BJU Int. 2003;91:853-5.
M. Neuman, A. Eidelman, R. Langer, A. Golan, I. Bukovsky, E. Caspi. Iatrogenic injuries to the ureter during gynecologic and obstetric operations. Surg Gynecol Obstet. 1991;173:268-72.
C. Wiesner, J. W. Thuroff. Techniques for uretero-intestinal reimplantation. Curr Opin Urol. 2004;14:351-5.
J. B. Thrasher, D. R. Temple, E. K. Spees. Extravesical versus Leadbetter-Politano ureteroneocystostomy: a comparison of urological complications in 320 renal transplants. J Urol. 1990;144:1105-9.
- Abstract Viewed: 434 times
- pdf/5478 Downloaded: 237 times