空军军医大学学报2025，Vol.46Issue(9)：1148-1152,5.DOI:10.13276/j.issn.2097-1656.2025.09.005
机器人辅助腹腔镜阑尾瓣治疗复杂输尿管狭窄安全性及有效性
Safety and efficacy of robot-assisted laparoscopic appendiceal flap in the treatment of complex ureteral strictures
摘要
Abstract
Objective To evaluate the safety and efficacy of robot-assisted laparoscopic appendiceal flap repair for complex ureteral strictures(US).Methods A retrospective analysis was conducted on 7 patients with right US treated at Tangdu Hospital,Air Force Medical University from October 2022 to June 2024.The mean age was(39.43±11.27)years.Etiologies included postoperative ureteral stones(4 cases),surgical injury(2 cases),and post-pyeloplasty stricture(1 case).All patients had a history of multiple prior interventions,including balloon dilation and repeated ureteral stent placements.Stricture locations were mid-ureter(3 cases),upper ureter(3 cases),and combined mid-upper ureter(1 case),with a mean stricture length of(4.79±1.35)cm.Robot-assisted laparoscopic appendiceal flap reconstruction was performed.Parameters recorded included operative time,intraoperative blood loss,postoperative hospital stay,intra-/postoperative complications,and follow-up outcomes.Results All 7 procedures were successfully performed without intraoperative complications.Mean operative time was(167.86±17.99)min,estimated blood loss was(117.14±49.57)mL,and mean hospital stay was(7.29±1.11)d.No high-grade complications occurred.During a mean follow-up of(24.57±10.92)months,the surgical success rate was 100％.Conclusion Robot-assisted laparoscopic appendiceal flap reconstruction is a safe and effective technique for repairing long-segment mid-to-upper right US.关键词
输尿管狭窄/阑尾/重建外科手术/机器人手术/腹腔镜检查/输尿管成形术/微创手术/治疗结果Key words
ureteral stricture/appendiceal/reconstructive surgical procedures/robotic surgical procedures/laparoscopy/ureteroplasty/minimally invasive surgery/treatment outcome分类
医药卫生引用本文复制引用
张伟,王禾,张更,杨帆,薛炜,焦点,严奉奇,李振宇,候皓中,邱建新,赵致广..机器人辅助腹腔镜阑尾瓣治疗复杂输尿管狭窄安全性及有效性[J].空军军医大学学报,2025,46(9):1148-1152,5.基金项目
陕西省重点研发计划项目(2023-YBSF-076) （2023-YBSF-076）
