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机器人辅助修复输尿管狭窄。

Robot-assisted repair of ureteral stricture.

机构信息

Department of Urology, The First Affiliated Hospital of Anhui Medical University, Anhui Medical University, No. 218 Jixi Road, Hefei, 230022, Anhui, People's Republic of China.

Institute of Urology, Anhui Medical University, Hefei, Anhui, People's Republic of China.

出版信息

J Robot Surg. 2024 Sep 28;18(1):354. doi: 10.1007/s11701-024-01993-9.

Abstract

As robot-assisted laparoscopic techniques continue to advance, becoming increasingly complex and refined, there has been significant progress in the minimally invasive treatment of ureteral strictures. This abstract aims to provide an overview and description of various surgical techniques that utilize robots for repairing ureteral strictures. We have summarized the progression of these surgical methods and highlighted the latest advancements in the procedures. When compared to open surgery, robot-assisted reconstruction techniques demonstrate superior functional outcomes, fewer postoperative complications, and a faster recovery in the treatment of ureteral strictures. This abstract aims to provide an overview and description of various surgical techniques utilizing robots to repair ureteral strictures. Robotic ureteral stricture correction has emerged as a valuable therapeutic option, particularly when endoscopic procedures are not feasible. Compared to traditional open surgery, robotic methods exhibit superior therapeutic effectiveness, fewer postoperative complications, and accelerated recovery. Reconstructive procedures such as reimplantation, psoas hitch, Boari flap, ureter-to-ureter anastomosis, appendix graft, buccal mucosa graft (BMG), ileal transplantation, or kidney autotransplantation can be performed depending on the extent and location of the stricture. Robotic surgical techniques also offer advantages, such as an expanded field of vision and the incorporation of supplementary technologies such as FireflyTM, indocyanine green (ICG), and near-infrared fluorescence (NIRF) imaging. However, further long-term, multicenter investigations are necessary to validate the positive findings reported in existing case series. Compared with open surgery, robot-assisted reconstruction techniques yield superior functional outcomes, fewer postoperative complications, and accelerated recovery for the treatment of ureteral strictures.

摘要

随着机器人辅助腹腔镜技术的不断发展,变得越来越复杂和精细,微创治疗输尿管狭窄方面取得了重大进展。本文旨在概述和描述各种利用机器人修复输尿管狭窄的手术技术。我们总结了这些手术方法的进展,并强调了这些程序的最新进展。与开放手术相比,机器人辅助重建技术在治疗输尿管狭窄方面具有更好的功能结果、更少的术后并发症和更快的恢复。本文旨在概述和描述各种利用机器人修复输尿管狭窄的手术技术。机器人输尿管狭窄矫正已成为一种有价值的治疗选择,特别是在无法进行内镜手术时。与传统的开放手术相比,机器人方法具有更好的治疗效果、更少的术后并发症和更快的恢复。可以根据狭窄的程度和位置进行重建手术,如再植入、腰大肌固定术、Boari 皮瓣、输尿管-输尿管吻合术、阑尾移植物、颊黏膜移植物(BMG)、回肠移植或自体肾移植。机器人手术技术还具有优势,例如扩大了视野,并结合了 FireflyTM、吲哚菁绿(ICG)和近红外荧光(NIRF)成像等补充技术。然而,需要进一步进行长期、多中心的研究来验证现有病例系列报告的阳性结果。与开放手术相比,机器人辅助重建技术在治疗输尿管狭窄方面具有更好的功能结果、更少的术后并发症和更快的恢复。

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