A Modified Transurethral Stenting Technique for (Robot-Assisted) Laparoscopic Ureteral Reimplantation

被引:1
作者
Teng, Jingfei [1 ]
Jia, Zhuomin [1 ]
Ai, Xing [1 ]
Guan, Yawei [1 ]
Gao, Feng [1 ]
机构
[1] Peoples Liberat Army Gen Hosp, Med Ctr 7, Dept Urinary Surg, 5 Nanmencang, Beijing 100700, Peoples R China
基金
中国国家自然科学基金;
关键词
Stenting technique; Ureteral reimplantation; Robot-assisted laparoscopic ureteral reimplantation; Robotic surgery; CHILDREN;
D O I
10.1159/000496470
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Background: Ureteral stenting is a technique-demanding procedure performed during robot-assisted laparoscopic ureteral reimplantation (RALUR). Many stenting techniques have been reported; however, none of them could be accepted as an ideal way. Objectives: The aim of the study was to report our initial results of a modified stenting technique for RALUR. Methods: Consecutive 4 patients undergoing RALUR were prospectively enrolled into our study. Our ureteral stenting technique included the following steps: catheterize a head-cut Foley catheter at the beginning of the operation, drag out the Foley catheter from the ureterovesical stoma after finishing posterior anatomosis, insert a guide wire through the catheter to the ureter lumen, and place the double-J (DJ) stent over the guide wire with a pusher. Results: All surgeries were successfully performed without severe complications. The mean stenting time was 1.6 min. No submucosa pseudocanal was found during stenting. DJ stent was removed 4 weeks after surgery. During the 3-month follow-up, it was observed that no vesicoureteral reflux or ureter stricture was found. Conclusions: Our ureteral stenting technique is an effective, simple, and safe procedure in RALUR, and could also be performed in laparoscopic ureteral reimplantation. (c) 2019 S. Karger AG, Basel
引用
收藏
页码:385 / 389
页数:5
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