A Comparison of Robot-Assisted Laparoscopic Ureteral Reimplantation and Conventional Laparoscopic Ureteral Reimplantation for the Management of Benign Distal Ureteral Stricture
Purpose: To describe our experience and analyze the outcomes of robot-assisted laparoscopic ureteral reimplantation (RALUR) and conventional laparoscopic ureteral rcimplantation (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.
第一作者单位:[1]Huazhong Univ Sci & Technol,Tongji Med Coll,Tongji Hosp,Dept Urol,1095 Jiefang Ave,Wuhan 430030,Hubei,Peoples R China[2]Huazhong Univ Sci & Technol,Tongji Med Coll,Tongji Hosp,Dept Geriatr,1095 Jiefang Ave,Wuhan 430030,Hubei,Peoples R China
共同第一作者:
通讯作者:
推荐引用方式(GB/T 7714):
zhang yucong,ouyang wei,xu hao,et al.A Comparison of Robot-Assisted Laparoscopic Ureteral Reimplantation and Conventional Laparoscopic Ureteral Reimplantation for the Management of Benign Distal Ureteral Stricture[J].UROLOGY JOURNAL.2020,17(3):252-256.doi:10.22037/uj.v0i0.5478.
APA:
zhang,yucong,ouyang,wei,xu,hao,luan,yang,yang,jun...&li,heng.(2020).A Comparison of Robot-Assisted Laparoscopic Ureteral Reimplantation and Conventional Laparoscopic Ureteral Reimplantation for the Management of Benign Distal Ureteral Stricture.UROLOGY JOURNAL,17,(3)
MLA:
zhang,yucong,et al."A Comparison of Robot-Assisted Laparoscopic Ureteral Reimplantation and Conventional Laparoscopic Ureteral Reimplantation for the Management of Benign Distal Ureteral Stricture".UROLOGY JOURNAL 17..3(2020):252-256