机器人辅助腹腔镜治疗内镜术后继发输尿管狭窄的疗效（附27例报告）

doi:10.19558/j.cnki.10-1020/r.2021.06.006

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摘要 目的：探讨机器人辅助腹腔镜治疗内镜术后继发输尿管狭窄的安全性和有效性。方法：回顾性分析2018年6月–2020年9月收治27例上尿路结石内镜术后继发输尿管狭窄患者的临床资料,均经腹腔入路,其中25例行机器人辅助腹腔镜下输尿管狭窄段切除并端端吻合术,2例输尿管狭窄段距离膀胱壁≤2 cm,行机器人辅助腹腔镜下狭窄段切除并输尿管膀胱再植术。结果：27例手术均获得成功,无术中和术后并发症发生,无重要器官及大血管的损伤,手术时间(98.18±25.69)min,术后住院时间(5.22±0.90)d,随访6~33个月,行泌尿系CT和IVU检查,患者肾积水均明显减轻,无再狭窄发生。结论：机器人辅助腹腔镜治疗内镜术后继发输尿管狭窄安全有效。

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	陶军跃
	梁朝朝
	郝宗耀
	施浩强
	邰胜
	杨诚
	周骏

关键词 ：机器人, 腹腔镜, 继发输尿管狭窄

Abstract：Objective： To evaluate the safety and efficacy of robot-assisted laparoscopy in the treatment of secondary ureteral stricture after endoscopy. Methods： The clinical data of 27 patients admitted to our hospital from June 2018 to September 2020 with secondary ureteral strictures, who received ureteroscopic lithotripsyvia the transperitoneal approach, were analyzed. A total of 25 patients underwent robot-assisted laparoscopic resection of the stricture segment and ureteral re-anastomosis,and 2 patients with ureteral stricture segments ≤2 cm from the bladder wall underwent robot-assisted laparoscopic resection of the stricture segment and ureteral reimplantation. Results： All 27 operations were successful without intra-operative and post-operative complications, and major organs and large blood vessels were well-protected. The mean operation time was （98.18±25.69） min, and the mean length of post-stay was（5.22±0.90） days. During the follow-up period of 6 to 33 months, the CT and IVU reexamination revealed that all patients were cured with significantly reduced hydronephrosis and improved renal function, and no restenosis occurred. Conclusion： Robot-assisted laparoscopy in the treatment of secondary ureteral stricture after endoscopic surgeryis safe and effective, with fewer complications and quick recovery.

Key words： robot laparoscopy secondary ureteral stricture

收稿日期: 2021-06-30

基金资助:安徽省教育厅高校协同创新项目（GXXT-2019-014）

通讯作者: 周骏,urodoctorzhou@163.com

引用本文:

陶军跃, 梁朝朝, 郝宗耀, 施浩强, 邰胜, 杨诚, 周骏. 机器人辅助腹腔镜治疗内镜术后继发输尿管狭窄的疗效（附27例报告）[J]. 微创泌尿外科杂志, 2021, 10(6): 385-389.
TAO Junyue, LIANG Chaozhao, HAO Zongyao, SHI Haoqiang, TAI Sheng, YANG Cheng, ZHOU Jun. Efficacy of robot-assisted laparoscopy in the treatment of secondary ureteral stricture after endoscopy (report for 27 cases). JOURNAL OF MINIMALLY INVASIVE UROLOGY, 2021, 10(6): 385-389.

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