Department of Urology, Tongji Hospital of Tongji Medical College, Huazhong University of Science and Technology, 1095 Jiefang Avenue, Qiaokou, Wuhan, Hubei, China. 430030 430030.
Department of Urology, Tongji Hospital of Tongji Medical College, Huazhong University of Science and Technology, 1095 Jiefang Avenue, Qiaokou, Wuhan, Hubei, China. 430030.
Urol J. 2020 May 16;17(3):252-256. doi: 10.22037/uj.v0i0.5478.
To describe our experience and analyze the outcomes of robot-assisted laparoscopic ureteral reimplantation (RALUR) and conventional laparoscopic ureteral reimplantation (LUR) in treating benign distal ureteral stricture (DUS).
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.
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).
Basically, the postoperative outcomes are similar but robotic surgery offers a quicker surgery and anastomosis.
描述我们机器人辅助腹腔镜输尿管再植术（RALUR）和传统腹腔镜输尿管再植术（LUR）治疗良性远端输尿管狭窄（DUS）的经验，并分析其结果。
回顾性分析接受 RALUR 或 LUR 治疗 DUS 的患者。所有手术均采用经腹腔途径反流式进行。收集并分析了基线特征、既往腹部手术史、手术概况和随访数据。
在 68 例 DUS 患者中，62 例诊断为单侧 DUS，其中 28 例行 RALUR。RALUR 组的平均手术时间为 2.44±0.45 小时，LUR 组的平均手术时间为 3.09±0.74 小时（P＜0.001）。LUR 的平均缝合时间（39.59±3.78 分钟）约为 RALUR 的 2 倍（20.04±3.5 分钟）（P＜0.001）。RALUR 组和 LUR 组的成功率分别为 89.3%和 82.4%（P=0.494）。在多元线性回归模型中，手术方式是唯一影响手术时间（Beta=-0.964，P＜0.001）、缝合时间（Beta=-1.899，P＜0.001）和血红蛋白下降（Beta=-0.611，P=0.020）的变量。
基本上，术后结果相似，但机器人手术具有更快的手术和吻合速度。
