Management of recurrent ureteral stricture: a retrospectively comparative study with robot-assisted laparoscopic surgery versus open approach
Background Management of recurrent ureteral stricture is challenging. Consensus on the best surgical choice has not been demonstrated. In this study, we aim to report our experience in treating recurrent ureteral stricture and demonstrate whether robot-assisted procedure for redo ureteral surgery is...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
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PeerJ Inc.
2019-12-01
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| Online Access: | https://peerj.com/articles/8166.pdf |
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| author | Qing Wang Yuchao Lu Henglong Hu Jiaqiao Zhang Baolong Qin Jianning Zhu Najib Isse Dirie Zongbiao Zhang Shaogang Wang |
| author_facet | Qing Wang Yuchao Lu Henglong Hu Jiaqiao Zhang Baolong Qin Jianning Zhu Najib Isse Dirie Zongbiao Zhang Shaogang Wang |
| author_sort | Qing Wang |
| collection | DOAJ |
| description | Background Management of recurrent ureteral stricture is challenging. Consensus on the best surgical choice has not been demonstrated. In this study, we aim to report our experience in treating recurrent ureteral stricture and demonstrate whether robot-assisted procedure for redo ureteral surgery is as effective as open procedure while remaining less invasive. Methods We retrospectively assessed 41 patients (22 robot-assisted surgeries and 19 open surgeries) who underwent consecutive robot-assisted and open procedures for redo ureteral surgery from January 2014 to 2018 in our institution. Perioperative outcomes, including demographics, operative time, estimated blood loss, complications, pain scores, success rate and cost, were compared between two groups. Results There was no significant intergroup difference in terms of age, body mass index, gender composition and American Society of Anesthesiologists scores. A total of 31 patients underwent redo pyeloplasty and ten underwent redo uretero-ureterostomy. Compared with open group, robot-assisted group showed shorter operative time (124.55 min vs. 185.11 min, p < 0.0001), less estimated blood loss (100.00 mL vs. 182.60 mL, p = 0.008) and higher cost (61161.77¥ vs. 39470.79¥, p < 0.0001). Complication rate and pain scores were similar between two groups. Median follow-up periods were 30 and 48 months for robot-assisted and open group respectively. Success rate in the robot-assisted (85.71%) and the open group (82.35%) was not significantly different. Conclusions Robot-assisted surgery for recurrent stricture after previous ureteral reconstruction is as effective as open procedure and is associated with shorter operative time and less estimated blood loss. |
| first_indexed | 2024-03-09T07:00:21Z |
| format | Article |
| id | doaj.art-a7d73d165fa24695862678666b70ee4f |
| institution | Directory Open Access Journal |
| issn | 2167-8359 |
| language | English |
| last_indexed | 2024-03-09T07:00:21Z |
| publishDate | 2019-12-01 |
| publisher | PeerJ Inc. |
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| series | PeerJ |
| spelling | doaj.art-a7d73d165fa24695862678666b70ee4f2023-12-03T09:55:32ZengPeerJ Inc.PeerJ2167-83592019-12-017e816610.7717/peerj.8166Management of recurrent ureteral stricture: a retrospectively comparative study with robot-assisted laparoscopic surgery versus open approachQing WangYuchao LuHenglong HuJiaqiao ZhangBaolong QinJianning ZhuNajib Isse DirieZongbiao ZhangShaogang WangBackground Management of recurrent ureteral stricture is challenging. Consensus on the best surgical choice has not been demonstrated. In this study, we aim to report our experience in treating recurrent ureteral stricture and demonstrate whether robot-assisted procedure for redo ureteral surgery is as effective as open procedure while remaining less invasive. Methods We retrospectively assessed 41 patients (22 robot-assisted surgeries and 19 open surgeries) who underwent consecutive robot-assisted and open procedures for redo ureteral surgery from January 2014 to 2018 in our institution. Perioperative outcomes, including demographics, operative time, estimated blood loss, complications, pain scores, success rate and cost, were compared between two groups. Results There was no significant intergroup difference in terms of age, body mass index, gender composition and American Society of Anesthesiologists scores. A total of 31 patients underwent redo pyeloplasty and ten underwent redo uretero-ureterostomy. Compared with open group, robot-assisted group showed shorter operative time (124.55 min vs. 185.11 min, p < 0.0001), less estimated blood loss (100.00 mL vs. 182.60 mL, p = 0.008) and higher cost (61161.77¥ vs. 39470.79¥, p < 0.0001). Complication rate and pain scores were similar between two groups. Median follow-up periods were 30 and 48 months for robot-assisted and open group respectively. Success rate in the robot-assisted (85.71%) and the open group (82.35%) was not significantly different. Conclusions Robot-assisted surgery for recurrent stricture after previous ureteral reconstruction is as effective as open procedure and is associated with shorter operative time and less estimated blood loss.https://peerj.com/articles/8166.pdfRecurrent ureteral strictureRobotic surgeryOpen surgeryUreteral reconstruction |
| spellingShingle | Qing Wang Yuchao Lu Henglong Hu Jiaqiao Zhang Baolong Qin Jianning Zhu Najib Isse Dirie Zongbiao Zhang Shaogang Wang Management of recurrent ureteral stricture: a retrospectively comparative study with robot-assisted laparoscopic surgery versus open approach PeerJ Recurrent ureteral stricture Robotic surgery Open surgery Ureteral reconstruction |
| title | Management of recurrent ureteral stricture: a retrospectively comparative study with robot-assisted laparoscopic surgery versus open approach |
| title_full | Management of recurrent ureteral stricture: a retrospectively comparative study with robot-assisted laparoscopic surgery versus open approach |
| title_fullStr | Management of recurrent ureteral stricture: a retrospectively comparative study with robot-assisted laparoscopic surgery versus open approach |
| title_full_unstemmed | Management of recurrent ureteral stricture: a retrospectively comparative study with robot-assisted laparoscopic surgery versus open approach |
| title_short | Management of recurrent ureteral stricture: a retrospectively comparative study with robot-assisted laparoscopic surgery versus open approach |
| title_sort | management of recurrent ureteral stricture a retrospectively comparative study with robot assisted laparoscopic surgery versus open approach |
| topic | Recurrent ureteral stricture Robotic surgery Open surgery Ureteral reconstruction |
| url | https://peerj.com/articles/8166.pdf |
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