机器人辅助全体内回肠代输尿管术治疗输尿管全段撕脱伤后输尿管全段狭窄或缺如的临床效果分析(附手术视频)  

Clinical analysis of totally intracorporeal robot-assisted ileal ureteral replacement for ureteral stenosis or absence after total ureteral avulsion(with surgical video)

作　　者：屈卫星[1] 周建成[1] 李晶[1] 薛苗新 丁上书 赵华才[1] 谭旻喆 杜宏纲 QU Weixing;ZHOU Jiancheng;LI Jing;XUE Miaoxin;DING Shangshu;ZHAO Huacai;TAN Minzhe;DU Honggang(Department of Urology,Shaanxi Provincial People’s Hospital,Xi’an 710068,China;Department of Urology,the First Hospital of Hanbin District,Ankang 725000,China;Department of Urology,Jiugang Hospital,Jiayuguan 735100,China)

机构地区：[1]陕西省人民医院泌尿外科,陕西西安710068 [2]汉滨区第一医院泌尿外科,陕西安康725000 [3]酒钢医院泌尿外科,甘肃嘉峪关735100

出　　处：《机器人外科学杂志（中英文）》2024年第5期910-914,共5页Chinese Journal of Robotic Surgery

基　　金：陕西省重点研发计划项目(2022SF-465)。

摘　　要：目的:探讨机器人辅助全体内回肠代输尿管术治疗输尿管全段撕脱伤后输尿管全段狭窄或缺如的可行性及临床效果。方法:对本院2021年12月—2023年2月收治的4例输尿管镜钬激光碎石术后输尿管全段撕脱伤导致的输尿管全段狭窄或缺如的患者行机器人辅助完全体内回肠代输尿管术。所有患者均在撕脱伤后即刻行肾造瘘术或输尿管残端皮肤造口术,术后3个月来本院二期手术。结果:4例手术均获得成功,随访3~24个月无或轻度肾积水,无其他并发症发生。结论:机器人辅助全体内回肠代输尿管术是治疗输尿管全段撕脱伤后输尿管全段狭窄或缺如的可行手术方式,具有一体位、创口小、恢复快、并发症少等优势。Objective:To investigate the feasibility and clinical effect of totally intracorporeal robot-assisted ileal ureteral replacement(RA-IUR)in the treatment of ureteral stricture or absence after total avulsion.Methods:Totally intracorporeal RA-IUR was performed on 4 patients in our hospital from December 2021 to February 2023 for ureteral total avulsion injury resulting in total ureteral stenosis or absence caused by ureteroscopic holmium laser lithotripsy.All patients underwent nephrostomy or cutaneous ureterostomy immediately after avulsion injury.Results:All the 4 cases of surgery were successfully completed.No mild hydronephrosis or other complications occurred during 3-24 months of follow-up.Conclusion:Totally intracorporeal RA-IUR is a feasible surgical method for ureteral stenosis or absence caused by total ureteral avulsion injury,and it has the advantages of single-position,small wound,quick recovery and few complications.

关 键 词：机器人辅助手术 输尿管全段狭窄 回肠代输尿管术 

分 类 号：R608[医药卫生—外科学] R693[医药卫生—临床医学]