Laparoscopic operation for the treatment of patients suffering from upper or middle ureteral atresia following ureteroscopic lithotripsy with holmium laser
Liu Heyang, Pang Yuewen, Shi Jing, Duan Junyao, Gong Huijie, Yan Yongji*
Department of Urology, Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing 100700,China
Abstract：Objective: To explore the method and effect of laparoscopic operation for the treatment of patients with upper or middle ureteral atresia following ureteroscopic lithotripsy with holmium laser. Methods: Total of 16 patientssuffering from upper or middle ureteral atresia after holmium laser lithotripsy from June 2015 to July 2021 were retrospective analysed at our institution. They were performed laparoscopic resection of the segments of ureteral atresia combined with ureteral anastomosis via transperitoneal or retroperitoneal approach,which was chosen according to multiple factors such as the position and length of ureteral atresia, the body mass index, etc. Results: All patients were finished the surgery successfully without serious complications including 9 patients with upper-segment atresia and 7 with middle-segment atresia with length ranging from 0.5 -4.2 （1.8 ± 0.8） cm.The surgical duration was 80-220 （110±40.5） min; the hemorrhagic volume was 50-220 （70±50.5） ml; indwelling time of the drainage tube was 7-10 （8.0±0.8） d.At a follow-up of 7-48 months, all patients experienced a reduction in hydronephrosis.Two patients developed postoperative anastomotic stricture, which improved after balloon dilation. Conclusion: Laparoscopic ureteral atresia resection combined with ureteral anastomosis is an effective method for the treatment of the upper or middle ureteral atresias related to holmium laser lithotripsy.
刘河漾, 庞月文, 时京, 段珺耀, 巩会杰, 闫永吉. 腹腔镜手术处理钬激光碎石术后输尿管中上段闭锁的临床观察[J]. 微创泌尿外科杂志, 2022, 11(6): 392-395.
Liu Heyang, Pang Yuewen, Shi Jing, Duan Junyao, Gong Huijie, Yan Yongji. Laparoscopic operation for the treatment of patients suffering from upper or middle ureteral atresia following ureteroscopic lithotripsy with holmium laser. JOURNAL OF MINIMALLY INVASIVE UROLOGY, 2022, 11(6): 392-395.
