Xia Weiping, Chen Xiang, Li Bingsheng, Chen Hequn, Zhu Zewu, He Yao, Gan Yu, Zhang Bo, Wang Kangning, Li Yang, Jiang Zexiang, Long Jin, Chen Zhi
Department of Urology, Xiangya Hospital, Central South University, Changsha, China.
National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, China.
Front Surg. 2022 Feb 25;9:814290. doi: 10.3389/fsurg.2022.814290. eCollection 2022.
The purpose of this study was to report our experience in treating multiple ureteral polyps with transabdominal laparoscopic ureteroureterostomy (LAP-UU) with intraoperative retrograde ureteroscopy (RU)-assisted technique.
The data of 32 patients who underwent transabdominal LAP-UU with the intraoperative RU-assisted technique due to multiple ureteral polyps between January 2011 and March 2021 were reviewed at our institute. After administration of anesthesia, patients were placed in a passive position and underwent a three-port transabdominal laparoscopy with RU. Detailed data were reviewed, such as demographic characteristics, intraoperative outcomes, postoperative data, complications, and pathology reports.
Thirty-two patients were diagnosed with multiple ureteral polyps underwent this surgery method at our institution. The mean duration of symptoms at the time of diagnosis was approximately 7.1 months. The mean age of patients was 42.4 years, with men accounting for 68.8% (22/32), lesion of left for 56.3% (18/32), and the upper ureter for 62.5% (20/32). Furthermore, the median length of the polyps was 3.6 cm, the mean operative time was 174.6 min, and the estimated blood loss (EBL) was about 86.8 ml. The mean time to begin a liquid diet and to be out of bed were 1.7 and 2.3 days, respectively. The average length of hospital stay was 6.3 days. The ureteral stent was removed by cystoscope 2-3 months after surgery. Follow-up duration ranged from 3 to 112 months and none of the patients required another surgery for recurrence.
Transabdominal LAP-UU combined with the intraoperative RU-assisted technique is an effective, safe, and reliable surgical option for patients with multiple ureteral polyps. Further long-term follow-up is recommended.
本研究的目的是报告我们采用经腹腹腔镜输尿管输尿管吻合术（LAP-UU）联合术中逆行输尿管镜检查（RU）辅助技术治疗多发性输尿管息肉的经验。
回顾了2011年1月至2021年3月期间在我院因多发性输尿管息肉接受经腹LAP-UU联合术中RU辅助技术治疗的32例患者的数据。麻醉后，患者处于被动体位，接受三孔经腹腹腔镜联合RU手术。详细审查了人口统计学特征、术中结果、术后数据、并发症和病理报告等数据。
32例被诊断为多发性输尿管息肉的患者在我院接受了这种手术方法。诊断时症状的平均持续时间约为7.1个月。患者的平均年龄为42.4岁，男性占68.8%（22/32），左侧病变占56.3%（18/32），上段输尿管病变占62.5%（20/32）。此外，息肉的中位长度为3.6 cm，平均手术时间为174.6分钟，估计失血量（EBL）约为86.8 ml。开始流食和下床的平均时间分别为1.7天和2.3天。平均住院时间为6.3天。术后2-3个月通过膀胱镜取出输尿管支架。随访时间为3至112个月，所有患者均未因复发而需要再次手术。
经腹LAP-UU联合术中RU辅助技术是治疗多发性输尿管息肉患者的一种有效、安全且可靠的手术选择。建议进一步进行长期随访。
