Reconstruction of full-length ureter defects by laparoscopic bladder flap forming

Abstract To evaluate the safety and efficacy of laparoscopic bladder muscle flap reconstruction in the treatment of extensive ureteral avulsion. Patients with full-length (re length > 20 cm) and upper ureteral (avulsion length > 10 cm) defects were eligible. All patients were treated with lapa...

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Autores principales:	Yuchen Bai, Haibin Wei, Alin Ji, Qi Zhang, Shuai Wang, Yonghan Peng, Xiaofeng Gao, Feng Liu, Dahong Zhang
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/61aa72ebe12b4eccaa002170e3865b02
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spelling	oai:doaj.org-article:61aa72ebe12b4eccaa002170e3865b022021-12-02T10:54:23ZReconstruction of full-length ureter defects by laparoscopic bladder flap forming10.1038/s41598-021-83518-02045-2322https://doaj.org/article/61aa72ebe12b4eccaa002170e3865b022021-02-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-83518-0https://doaj.org/toc/2045-2322Abstract To evaluate the safety and efficacy of laparoscopic bladder muscle flap reconstruction in the treatment of extensive ureteral avulsion. Patients with full-length (re length > 20 cm) and upper ureteral (avulsion length > 10 cm) defects were eligible. All patients were treated with laparoscopic bladder muscle flap reconstruction. Peri-operative information and post-operative complications were recorded. The kidney function, urinary ultrasound or computed tomography (CT), sun-renal function tests emission computed tomography (ECT) and cystography after operation were recorded. Ten patients were included (7 with full-length and 3 with upper ureteral defects). Median age was 56 years and 70% of them were female. The average operation time and blood loss was 124 min and 92.2 ml. There was no treatment-related adverse effects including urinary leakage, renal colic, fever, etc. The median follow-up was 18.5 months (3–39 months). The surgery did not significantly alter the renal function and separation degree of the renal pelvis during long-term follow-up. Double J stents were removed in nine patients (90%) within six months after operation. Only one case was diagnosed with post-operative anastomotic stricture, and subsequently received laparoscopic ipsilateral nephrectomy one year after the reconstruction operation. All cases had normal voiding and pear-shaped cystography. Laparoscopic bladder flap repair is a safe and effective treatment approach together with several advantages for patients with full-length or upper ureteral avulsion.Yuchen BaiHaibin WeiAlin JiQi ZhangShuai WangYonghan PengXiaofeng GaoFeng LiuDahong ZhangNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-7 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Yuchen Bai Haibin Wei Alin Ji Qi Zhang Shuai Wang Yonghan Peng Xiaofeng Gao Feng Liu Dahong Zhang Reconstruction of full-length ureter defects by laparoscopic bladder flap forming
description	Abstract To evaluate the safety and efficacy of laparoscopic bladder muscle flap reconstruction in the treatment of extensive ureteral avulsion. Patients with full-length (re length > 20 cm) and upper ureteral (avulsion length > 10 cm) defects were eligible. All patients were treated with laparoscopic bladder muscle flap reconstruction. Peri-operative information and post-operative complications were recorded. The kidney function, urinary ultrasound or computed tomography (CT), sun-renal function tests emission computed tomography (ECT) and cystography after operation were recorded. Ten patients were included (7 with full-length and 3 with upper ureteral defects). Median age was 56 years and 70% of them were female. The average operation time and blood loss was 124 min and 92.2 ml. There was no treatment-related adverse effects including urinary leakage, renal colic, fever, etc. The median follow-up was 18.5 months (3–39 months). The surgery did not significantly alter the renal function and separation degree of the renal pelvis during long-term follow-up. Double J stents were removed in nine patients (90%) within six months after operation. Only one case was diagnosed with post-operative anastomotic stricture, and subsequently received laparoscopic ipsilateral nephrectomy one year after the reconstruction operation. All cases had normal voiding and pear-shaped cystography. Laparoscopic bladder flap repair is a safe and effective treatment approach together with several advantages for patients with full-length or upper ureteral avulsion.
format	article
author	Yuchen Bai Haibin Wei Alin Ji Qi Zhang Shuai Wang Yonghan Peng Xiaofeng Gao Feng Liu Dahong Zhang
author_facet	Yuchen Bai Haibin Wei Alin Ji Qi Zhang Shuai Wang Yonghan Peng Xiaofeng Gao Feng Liu Dahong Zhang
author_sort	Yuchen Bai
title	Reconstruction of full-length ureter defects by laparoscopic bladder flap forming
title_short	Reconstruction of full-length ureter defects by laparoscopic bladder flap forming
title_full	Reconstruction of full-length ureter defects by laparoscopic bladder flap forming
title_fullStr	Reconstruction of full-length ureter defects by laparoscopic bladder flap forming
title_full_unstemmed	Reconstruction of full-length ureter defects by laparoscopic bladder flap forming
title_sort	reconstruction of full-length ureter defects by laparoscopic bladder flap forming
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/61aa72ebe12b4eccaa002170e3865b02
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Reconstruction of full-length ureter defects by laparoscopic bladder flap forming

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