Application of omental covering technique in robot-assisted lingual mucosa graft ureteroplasty.

IF 1.7 3区医学 Q4 ANDROLOGY

Translational andrology and urology Pub Date : 2025-07-30 Epub Date: 2025-07-25 DOI:10.21037/tau-2025-206

Yuancheng Zhou, Manshun Dong, Shuaishuai Chai, Kangxiang Xu, Ruoyu Li, Chaoqi Liang, Xingyuan Xiao, Bing Li

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引用次数: 0

Abstract

Background: Omentum has a wide application value in ureteroplasty, however, some specific situations limit its clinical application. Therefore, we modified the application method of omentum and proposed a new method named omental covering (OC) technique. This study aims to systematically evaluate the safety and efficacy of OC technique in robot-assisted lingual mucosa graft ureteroplasty (RA-LMGU).

Methods: We conducted a retrospective analysis of data from 79 patients who underwent RA-LMGU between June 2021 and October 2024 at two hospitals. Patients were divided into two groups according to the method of omental application: the omental wrapping (OW) group and the OC group. Perioperative and follow-up data were collected.

Results: A total of 79 patients were included, with 24 in the OW group and 55 in the OC group. The median ureteral stricture length was 4.3 [interquartile range (IQR), 3.7, 6.0] cm in the OW group and 3.0 (IQR, 2.1, 4.0) cm in the OC group (P<0.001). The median operative time was 181 (IQR, 139, 217) min in the OW group and 150 (IQR, 110, 198) min in the OC group (P=0.06). The median postoperative stay was 7 (IQR, 7, 8) days in the OW group and 6 (IQR, 5, 7) days in the OC group (P<0.001). The median follow-up time was 32 (IQR, 26, 39) months in the OW group and 11 (IQR, 4, 16) months in the OC group (P<0.001). It is worth noting that both groups achieved a 100% surgical success rate.

Conclusions: These short-term follow-up results demonstrated that the OC technique is also safe and effective in ureteral repair and reconstruction using lingual mucosa graft and it can reduce postoperative stay.

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网膜覆盖技术在机器人辅助舌黏膜移植物输尿管成形术中的应用。

背景：大网膜在输尿管成形术中具有广泛的应用价值，但一些特殊情况限制了其临床应用。因此，我们对网膜的应用方法进行了改进，提出了网膜覆盖（OC）技术。本研究旨在系统评价OC技术在机器人辅助舌黏膜移植物输尿管成形术（RA-LMGU）中的安全性和有效性。方法：我们对两家医院在2021年6月至2024年10月期间接受RA-LMGU治疗的79例患者的数据进行了回顾性分析。根据网膜应用方法将患者分为两组：网膜包裹（OW）组和网膜包裹（OC）组。收集围手术期及随访资料。结果：共纳入79例患者，其中OW组24例，OC组55例。输尿管中位狭窄长度OW组为4.3[四分位间距（IQR）， 3.7, 6.0] cm， OC组为3.0 (IQR, 2.1, 4.0) cm (p)。结论：这些短期随访结果表明OC技术在舌黏膜移植输尿管修复重建中也是安全有效的，可减少术后住院时间。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Translational andrology and urology Medicine-Urology

CiteScore

4.10

自引率

5.00%

发文量

期刊介绍： ranslational Andrology and Urology (Print ISSN 2223-4683; Online ISSN 2223-4691; Transl Androl Urol; TAU) is an open access, peer-reviewed, bi-monthly journal (quarterly published from Mar.2012 - Dec. 2014). The main focus of the journal is to describe new findings in the field of translational research of Andrology and Urology, provides current and practical information on basic research and clinical investigations of Andrology and Urology. Specific areas of interest include, but not limited to, molecular study, pathology, biology and technical advances related to andrology and urology. Topics cover range from evaluation, prevention, diagnosis, therapy, prognosis, rehabilitation and future challenges to urology and andrology. Contributions pertinent to urology and andrology are also included from related fields such as public health, basic sciences, education, sociology, and nursing.