Tao Tian,Zhang Xiaowei,Zhao Yang,et al.Preliminary application of robotic-assisted laparoscopic colon Yang-Monti-Huixia procedure for the repair of long-segment Ureteral Strictures[J].Journal of Clinical Pediatric Surgery,2025,(06):548-552.[doi:10.3760/cma.j.cn101785-202503117-008]
Preliminary application of robotic-assisted laparoscopic colon Yang-Monti-Huixia procedure for the repair of long-segment Ureteral Strictures
- Abstract:
- Objective To evaluate the safety and short- to mid-term outcomes of robotic-assisted laparoscopic colon Yang-Monti-Huixia procedure for the repair of long-segment ureteral strictures. Methods A retrospective analysis was conducted on the clinical data of 3 pediatric patients with long-segment ureteral stricture who underwent robotic-assisted laparoscopic colon Yang-Monti-Huixia procedure at the Department of Urology,The Seventh Medical Center,PLA General Hospital,between April 2022 and March 2024.Preoperative evaluations included urinary tract ultrasound,magnetic resonance urography,and diuretic renal dynamic imaging to confirm the diagnosis.Postoperative assessments focused on obstruction resolution and renal function recovery. Results Of the 3 patients,2 were male and 1 female,all with left-sided ureteral stricture.The mean age was 9.3 years.All procedures were completed robotically without conversion to open surgery or occurrence of severe intraoperative/postoperative complications.The average length of renal pelvis and ureteral defect was 7.7 cm.The mean operative time was 205 minutes,average intraoperative blood loss was 33.3 mL,mean postoperative drain duration was 7 days,and mean hospital stay was 14 days.At a mean follow-up of 22 months,ureteroscopic examination at 2 months post-op showed patent anastomoses without mucus or stone formation.Diuretic renal dynamic imaging at 6 months post-op showed resolution of obstruction and improved split renal function,indicating satisfactory outcomes. Conclusions Robotic-assisted laparoscopic colon Yang-Monti-Huixia procedure is a safe and feasible method for repairing long-segment ureteral strictures in children,with favorable short-to mid-term efficacy.
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Memo
收稿日期:2025-3-25。
基金项目:军队计生专项(24JSZ13);首都医学发展科研专项(2022-02-5083)
通讯作者:周辉霞,Email:huixia99999@163.com