Robot-assisted Boari flap and psoas hitch ureteric reimplantation: technique insight and outcomes of a case series with ≥1 year of follow-up.
Adult
Aged
Aged, 80 and over
Blood Loss, Surgical
Catheters, Indwelling
Creatinine
/ blood
Female
Follow-Up Studies
Glomerular Filtration Rate
Humans
Hydronephrosis
/ etiology
Length of Stay
Male
Middle Aged
Operative Time
Postoperative Complications
/ etiology
Psoas Muscles
Replantation
/ adverse effects
Retrospective Studies
Robotic Surgical Procedures
/ adverse effects
Surgical Flaps
/ adverse effects
Time Factors
Ureter
/ surgery
Ureteral Diseases
/ physiopathology
Urinary Catheters
Young Adult
#EndoUrology
#Urology
Boari flap
outcomes
psoas hitch
robot-assisted surgery
ureteric reimplantation
Journal
BJU international
ISSN: 1464-410X
Titre abrégé: BJU Int
Pays: England
ID NLM: 100886721
Informations de publication
Date de publication:
11 2021
11 2021
Historique:
pubmed:
9
4
2021
medline:
4
1
2022
entrez:
8
4
2021
Statut:
ppublish
Résumé
To describe step-by-step surgical techniques and report outcomes of the largest single-centre series of patients with distal ureteric disease exclusively treated with robot-assisted ureteric reimplantation with Boari flap (RABFUR) and psoas hitch (RAPHUR), with a minimum follow-up of 1 year and complete postoperative data. A total of 37 patients with distal ureteric disease were treated between 2010 and 2018. Of these, 81% and 19% underwent RAPHUR and RABFUR, respectively. Intra-, peri- and postoperative outcomes were assessed. The 90-day postoperative complications were reported according to the standardised methodology proposed by the European Association of Urology Ad Hoc Panel. Functional outcomes (creatinine, estimated glomerular filtration rate [eGFR]) and postoperative symptoms (visual analogue pain scale) were assessed. The median operating time and blood loss were 180 min and 100 mL, respectively. There were no conversions to open surgery and no intraoperative transfusions. The median length of stay, bladder catheter indwelling time and stent removal were 4, 7 and 30 days, respectively. The median follow-up was 24 months. Overall, 10 patients (27%) had postoperative complications and of these, eight (22%) and two (5.4%) were Clavien-Dindo Grade I-II and III, respectively. At the last follow-up, the median postoperative creatinine level and eGFR were 0.9 mg/dL and 73.5 mL/min/1.73 m In the present study, we present our RABFUR and RAPHUR techniques. We confirm the feasibility and safety profile of both approaches in patients with distal ureteric disease relying on the largest single-centre series with ≥1 year of follow-up.
Substances chimiques
Creatinine
AYI8EX34EU
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
625-633Informations de copyright
© 2021 The AuthorsBJU International © 2021 BJU International.
Références
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