Ileal ureteral replacement for the management of ureteral avulsion during ureteroscopic lithotripsy: a case series
Abstract Introduction To describe our initial experience with ileal ureteral replacement (IUR) for the management of ureteral avulsion (UA) during ureteroscopic lithotripsy. Methods Between September 2010 and April 2021, ten patients received ileal ureteral replacement for ureteral avulsion during u...
| Main Authors: | , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2022-07-01
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| Series: | BMC Surgery |
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| Online Access: | https://doi.org/10.1186/s12893-022-01690-0 |
| _version_ | 1828191770595295232 |
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| author | Changwei Yuan Zhihua Li Jie Wang Peng Zhang Chang Meng Dan Li Jingjing Gao Hua Guan Weijie Zhu Boyu Lu Zhichao Zhang Ninghan Feng Kunlin Yang Xuesong Li Liqun Zhou |
| author_facet | Changwei Yuan Zhihua Li Jie Wang Peng Zhang Chang Meng Dan Li Jingjing Gao Hua Guan Weijie Zhu Boyu Lu Zhichao Zhang Ninghan Feng Kunlin Yang Xuesong Li Liqun Zhou |
| author_sort | Changwei Yuan |
| collection | DOAJ |
| description | Abstract Introduction To describe our initial experience with ileal ureteral replacement (IUR) for the management of ureteral avulsion (UA) during ureteroscopic lithotripsy. Methods Between September 2010 and April 2021, ten patients received ileal ureteral replacement for ureteral avulsion during ureteroscopic lithotripsy. Anterograde urography and computed tomography urography (CTU) were applied to evaluate the lesion. Follow-up was performed with magnetic resonance urography and renal ultrasound as well as clinical assessment of symptoms. We retrospectively analysed the clinical data of ten patients treated with ileal ureteral replacement for the treatment of ureteral avulsion. Results Four patients underwent open ileal ureteral replacement, two underwent laparoscopic ileal ureteral replacement, and four underwent robotic-assisted ileal ureteral replacement. The mean operative time (OT) was 310 min (range 191–530). The mean estimated blood loss (EBL) was 193 mL (range 10–1000). The mean length of the ileal graft was 21 cm (range 12–25). The median postoperative hospital time was 13 days (range 7–19). All surgeries were effectively completed, and no case required open conversion in laparoscopic and robotic-assisted surgeries. There was no obvious hydronephrosis according to contrast-enhanced computed tomography 3-dimensional reconstruction images without serious complications or progressive hydronephrosis during a median follow-up duration of 51 months (range 5–131), and the success rate was 100%. Conclusions Our initial results and experience showed that ileal ureteral replacement for the management of ureteral avulsion during ureteroscopic lithotripsy is safe and feasible. |
| first_indexed | 2024-04-12T08:44:30Z |
| format | Article |
| id | doaj.art-eb2242e98c4141e09a12e4cf01ec2545 |
| institution | Directory Open Access Journal |
| issn | 1471-2482 |
| language | English |
| last_indexed | 2024-04-12T08:44:30Z |
| publishDate | 2022-07-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Surgery |
| spelling | doaj.art-eb2242e98c4141e09a12e4cf01ec25452022-12-22T03:39:45ZengBMCBMC Surgery1471-24822022-07-012211810.1186/s12893-022-01690-0Ileal ureteral replacement for the management of ureteral avulsion during ureteroscopic lithotripsy: a case seriesChangwei Yuan0Zhihua Li1Jie Wang2Peng Zhang3Chang Meng4Dan Li5Jingjing Gao6Hua Guan7Weijie Zhu8Boyu Lu9Zhichao Zhang10Ninghan Feng11Kunlin Yang12Xuesong Li13Liqun Zhou14Department of Urology, Peking University First Hospital, National Urological Cancer Center, Institute of Urology, Peking UniversityDepartment of Nursing, Peking University First Hospital, National Urological Cancer Center, Institute of Urology, Peking UniversityDepartment of Urology, Peking University First Hospital, National Urological Cancer Center, Institute of Urology, Peking UniversityDepartment of Urology, Emergency General HospitalDepartment of Urology, Peking University First Hospital, National Urological Cancer Center, Institute of Urology, Peking UniversityDepartment of Nursing, Peking University First Hospital, National Urological Cancer Center, Institute of Urology, Peking UniversityDepartment of Nursing, Peking University First Hospital, National Urological Cancer Center, Institute of Urology, Peking UniversityDepartment of Nursing, Peking University First Hospital, National Urological Cancer Center, Institute of Urology, Peking UniversityDepartment of Urology, Peking University First Hospital, National Urological Cancer Center, Institute of Urology, Peking UniversityDepartment of Urology, Panjin Liaohe Oilfield Gem Flower HospitalDepartment of Urology, Qinhuangdao Jungong HospitalDepartment of Urology, Affiliated Wuxi No. 2 Hospital, Nanjing Medical UniversityDepartment of Urology, Peking University First Hospital, National Urological Cancer Center, Institute of Urology, Peking UniversityDepartment of Urology, Peking University First Hospital, National Urological Cancer Center, Institute of Urology, Peking UniversityDepartment of Urology, Peking University First Hospital, National Urological Cancer Center, Institute of Urology, Peking UniversityAbstract Introduction To describe our initial experience with ileal ureteral replacement (IUR) for the management of ureteral avulsion (UA) during ureteroscopic lithotripsy. Methods Between September 2010 and April 2021, ten patients received ileal ureteral replacement for ureteral avulsion during ureteroscopic lithotripsy. Anterograde urography and computed tomography urography (CTU) were applied to evaluate the lesion. Follow-up was performed with magnetic resonance urography and renal ultrasound as well as clinical assessment of symptoms. We retrospectively analysed the clinical data of ten patients treated with ileal ureteral replacement for the treatment of ureteral avulsion. Results Four patients underwent open ileal ureteral replacement, two underwent laparoscopic ileal ureteral replacement, and four underwent robotic-assisted ileal ureteral replacement. The mean operative time (OT) was 310 min (range 191–530). The mean estimated blood loss (EBL) was 193 mL (range 10–1000). The mean length of the ileal graft was 21 cm (range 12–25). The median postoperative hospital time was 13 days (range 7–19). All surgeries were effectively completed, and no case required open conversion in laparoscopic and robotic-assisted surgeries. There was no obvious hydronephrosis according to contrast-enhanced computed tomography 3-dimensional reconstruction images without serious complications or progressive hydronephrosis during a median follow-up duration of 51 months (range 5–131), and the success rate was 100%. Conclusions Our initial results and experience showed that ileal ureteral replacement for the management of ureteral avulsion during ureteroscopic lithotripsy is safe and feasible.https://doi.org/10.1186/s12893-022-01690-0Ileal ureteral replacementUreteral avulsionUreteral injuriesUreteroscopic lithotripsyLaparoscopyRobot-assisted surgery |
| spellingShingle | Changwei Yuan Zhihua Li Jie Wang Peng Zhang Chang Meng Dan Li Jingjing Gao Hua Guan Weijie Zhu Boyu Lu Zhichao Zhang Ninghan Feng Kunlin Yang Xuesong Li Liqun Zhou Ileal ureteral replacement for the management of ureteral avulsion during ureteroscopic lithotripsy: a case series BMC Surgery Ileal ureteral replacement Ureteral avulsion Ureteral injuries Ureteroscopic lithotripsy Laparoscopy Robot-assisted surgery |
| title | Ileal ureteral replacement for the management of ureteral avulsion during ureteroscopic lithotripsy: a case series |
| title_full | Ileal ureteral replacement for the management of ureteral avulsion during ureteroscopic lithotripsy: a case series |
| title_fullStr | Ileal ureteral replacement for the management of ureteral avulsion during ureteroscopic lithotripsy: a case series |
| title_full_unstemmed | Ileal ureteral replacement for the management of ureteral avulsion during ureteroscopic lithotripsy: a case series |
| title_short | Ileal ureteral replacement for the management of ureteral avulsion during ureteroscopic lithotripsy: a case series |
| title_sort | ileal ureteral replacement for the management of ureteral avulsion during ureteroscopic lithotripsy a case series |
| topic | Ileal ureteral replacement Ureteral avulsion Ureteral injuries Ureteroscopic lithotripsy Laparoscopy Robot-assisted surgery |
| url | https://doi.org/10.1186/s12893-022-01690-0 |
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