Robotic lower-lip mucosal graft ureteroplasty for ureteral stenosis longer than 2 cm: initial experience of thirteen patients
ObjectivesTo 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 methodsA total of thirteen patients with ureteral stenosis who underwent robotic ureteropla...
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Frontiers Media S.A.
2024-12-01
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| Series: | Frontiers in Surgery |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fsurg.2024.1504867/full |
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| author | Zhaolin Zhang Xin Zeng Yuting Wu Gengqing Wu Zhihua He Guoxi Zhang Xiaofeng Zou Yuanhu Yuan Hui Xu |
| author_facet | Zhaolin Zhang Xin Zeng Yuting Wu Gengqing Wu Zhihua He Guoxi Zhang Xiaofeng Zou Yuanhu Yuan Hui Xu |
| author_sort | Zhaolin Zhang |
| collection | DOAJ |
| description | ObjectivesTo 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 methodsA 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.ResultThe 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).ConclusionRobotic ureteroplasty with LLMG is a safe and feasible technique for treating ureteral stenosis. |
| format | Article |
| id | doaj-art-7894a88b5f8a478fa5ad8a8dda3e86df |
| institution | OA Journals |
| issn | 2296-875X |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Frontiers Media S.A. |
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| series | Frontiers in Surgery |
| spelling | doaj-art-7894a88b5f8a478fa5ad8a8dda3e86df2025-08-20T02:19:34ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2024-12-011110.3389/fsurg.2024.15048671504867Robotic lower-lip mucosal graft ureteroplasty for ureteral stenosis longer than 2 cm: initial experience of thirteen patientsZhaolin Zhang0Xin Zeng1Yuting Wu2Gengqing Wu3Zhihua He4Guoxi Zhang5Xiaofeng Zou6Yuanhu Yuan7Hui Xu8Department of Urology, First Affiliated Hospital of Gannan Medical University, Ganzhou, Jiangxi, ChinaFirst Clinical Medical College, Gannan Medical University, Ganzhou, Jiangxi, ChinaDepartment of Urology, First Affiliated Hospital of Gannan Medical University, Ganzhou, Jiangxi, ChinaDepartment of Urology, First Affiliated Hospital of Gannan Medical University, Ganzhou, Jiangxi, ChinaDepartment of Urology, First Affiliated Hospital of Gannan Medical University, Ganzhou, Jiangxi, ChinaDepartment of Urology, First Affiliated Hospital of Gannan Medical University, Ganzhou, Jiangxi, ChinaDepartment of Urology, First Affiliated Hospital of Gannan Medical University, Ganzhou, Jiangxi, ChinaDepartment of Urology, First Affiliated Hospital of Gannan Medical University, Ganzhou, Jiangxi, ChinaDepartment of Urology, First Affiliated Hospital of Gannan Medical University, Ganzhou, Jiangxi, ChinaObjectivesTo 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 methodsA 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.ResultThe 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).ConclusionRobotic ureteroplasty with LLMG is a safe and feasible technique for treating ureteral stenosis.https://www.frontiersin.org/articles/10.3389/fsurg.2024.1504867/fulllower-lip mucosareconstructive surgeryrobotic ureteroplastyureteral stenosisoral mucosal graft |
| spellingShingle | Zhaolin Zhang Xin Zeng Yuting Wu Gengqing Wu Zhihua He Guoxi Zhang Xiaofeng Zou Yuanhu Yuan Hui Xu Robotic lower-lip mucosal graft ureteroplasty for ureteral stenosis longer than 2 cm: initial experience of thirteen patients Frontiers in Surgery lower-lip mucosa reconstructive surgery robotic ureteroplasty ureteral stenosis oral mucosal graft |
| title | Robotic lower-lip mucosal graft ureteroplasty for ureteral stenosis longer than 2 cm: initial experience of thirteen patients |
| title_full | Robotic lower-lip mucosal graft ureteroplasty for ureteral stenosis longer than 2 cm: initial experience of thirteen patients |
| title_fullStr | Robotic lower-lip mucosal graft ureteroplasty for ureteral stenosis longer than 2 cm: initial experience of thirteen patients |
| title_full_unstemmed | Robotic lower-lip mucosal graft ureteroplasty for ureteral stenosis longer than 2 cm: initial experience of thirteen patients |
| title_short | Robotic lower-lip mucosal graft ureteroplasty for ureteral stenosis longer than 2 cm: initial experience of thirteen patients |
| title_sort | robotic lower lip mucosal graft ureteroplasty for ureteral stenosis longer than 2 cm initial experience of thirteen patients |
| topic | lower-lip mucosa reconstructive surgery robotic ureteroplasty ureteral stenosis oral mucosal graft |
| url | https://www.frontiersin.org/articles/10.3389/fsurg.2024.1504867/full |
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