Robotic versus laparoscopic ureteroplasty with a lingual mucosa graft for complex ureteral stricture

Fan, Shubo; Li, Zhihua; Meng, Chang; Ying, Yicen; Han, Guanpeng; Gao, Jingjing; Li, Xinfei; Wang, Jie; Yuan, Changwei; Xiong, Shengwei; Zhang, Peng; Yang, Kun‐Lin; Feng, Na; Zhu, Hongjian; Li, Xuesong

doi:10.1007/s11255-022-03385-0

Cited by 4 publications

(5 citation statements)

References 27 publications

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“…The median length and width of the LMGs were 3.5 cm (2-7) and 1.5 cm (1-2), respectively. The median operative time was 189 minutes (130-346), estimated blood loss was 50 mL , and postoperative hospital stay was 6 days (4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14).…”

Section: Resultsmentioning

confidence: 99%

“…One of the most important goals of any surgical interventions is to improve patients’ quality of life. Although the technical nuances and postoperative morbidity have been well documented ( 3 , 4 , 9 ), there is no available data regarding the measurement of longitudinal changes in HRQoL associated with ureteral reconstruction using LMG. Similar to previous reports ( 15 ), our findings revealed that patients with complex US presented significantly decreased HRQoL compared with the general population.…”

Section: Discussionmentioning

confidence: 99%

“…The patients' demographics, perioperative and follow-up results were prospectively collected in our Reconstruction of Urinary Tract: Technology, Epidemiology and Result (RECUTTER) database. The surgical technique has been reported in our previous researches (3,(7)(8)(9). Clinical success was defined as symptomfree and no obstruction on radiographic evaluation.…”

Section: Data Collectionmentioning

confidence: 99%

“…Higher scores indicate higher levels of anxiety/depression. In the present study, the anxiety/depression scores of HADS were divided into two categories: non-anxiety/depression (0-7) and HADS-anxiety/HADS-depression (8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21).…”

Section: The Hospital Anxiety and Depression Scale (Hads)mentioning

confidence: 99%

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Minimally invasive ureteroplasty with lingual mucosal graft for complex ureteral stricture: analysis of surgical and patient-reported outcomes

Wang,

Meng,

et al. 2024

Int. braz j urol.

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Objective: To evaluate objective treatment efficacy and safety, and subjective patient-reported outcomes in patients with complex ureteral strictures (US) undergoing minimally invasive lingual mucosal graft ureteroplasty (LMGU). Materials and Methods: We prospectively enrolled patients underwent robotic or laparoscopic LMGU between May 2020 and July 2022. Clinical success was defined as symptom-free and no radiographic evidence of re-obstruction. Patient-reported outcomes, including health-related quality of life (HRQoL), mental health status and oral health-related quality of life (OHRQoL), were longitudinally evaluated before surgery, 6 and 12 months postoperatively. Results: Overall, 41 consecutive patients were included. All procedures were performed successfully with 32 patients in robotic approach and 9 in laparoscopic. Forty (97.56%) patients achieved clinical success during the median follow-up of 29 (range 15-41) months. Although patients with complex US experienced poor baseline HRQoL, there was a remarkable improvement following LMGU. Specifically, the 6-month and 12-month postoperative scores were significantly improved compared to the baseline (p < 0.05) in most domains. Twenty-eight (68.3%) and 31 (75.6%) patients had anxiety and depression symptoms before surgery, respectively. However, no significant decrease in the incidence of these symptoms was observed postoperatively. Moreover, there was no significant deterioration of OHRQoL at 6 months and 12 months postoperatively when compared to the baseline. Conclusions: LMGU is a safe and efficient procedure for complex ureteral reconstruction that significantly improves patient-reported HRQoL without compromising OHRQoL. Assessing patients’ quality of life enables us to monitor postoperative recovery and progress, which should be considered as one of the criteria for surgical success.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Data Collectionmentioning

confidence: 99%

Section: The Hospital Anxiety and Depression Scale (Hads)mentioning

confidence: 99%

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Minimally invasive ureteroplasty with lingual mucosal graft for complex ureteral stricture: analysis of surgical and patient-reported outcomes

Wang,

Meng,

et al. 2024

Int. braz j urol.

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“…Con una comprensión más clara del origen, funcionamiento, componentes, ventajas y desventajas de la cirugía robótica, es posible aprender más sobre el papel que desarrolla el equipo de enfermería dentro de estas intervenciones robóticas. (López et al, 2022;Gómez et al, 2022;Fan et al,2022;Kao et al,2022) Para Vitoriano et al, (2022), el personal de salud debe estar formado en teoría científica como práctica y cumplir con los siguientes requisitos: al menos 3 años de experiencia en diversas especialidades quirúrgicas, experiencia previa en cirugía mínimamente invasiva, conocimiento de protocolos, reglamentos, fundamentos informáticos, aplicación de software y contar con habilidades de liderazgo. (Beordo, 2022;Pablos et al 2022) Además, es importante que el equipo médico cumpla con los requisitos intelectuales para que, de esta forma, la intervención quirúrgica sea de calidad, organizada, flexible y eficaz (Mejías et al, 2022).…”

Section: Resultsunclassified

Rol del personal de salud ante la cirugía robótica

Chicaiza¹,

Limachi²,

Palacios³

et al. 2023

LATAM

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El desarrollo de la ciencia y la tecnología ha tenido un gran impacto en el campo de la medicina, en especial en la cirugía, donde la búsqueda de una cirugía mínimamente invasiva ha dado origen a la cirugía con sistemas robóticos, que actualmente es la que ofrece mayores ventajas, por lo que esta investigación tuvo como objetivo describir la importancia del rol del personal de salud ante la cirugía robótica, a través de una revisión bibliográfica descriptiva no experimental, comparando diferentes investigaciones científicas, donde se concluyó que el personal de salud debe estar en constante capacitación sobre las actualizaciones del manejo y técnicas quirúrgicas de la cirugía robótica, así como sobre los cuidados necesarios que se deben proporcionar al paciente. El papel del personal de salud es fundamental, ya que es el responsable de la calidad de los procedimientos a realizar antes, durante y después de la intervención quirúrgica, cuidando siempre la integridad del paciente.

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Management for Benign Ureteral Stricture: Comparison of Robot-Assisted Laparoscopy, Conventional Laparoscopy, and Balloon Dilation

Cao

Chen

et al. 2023

Journal of Endourology

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Robotic versus laparoscopic ureteroplasty with a lingual mucosa graft for complex ureteral stricture

Cited by 4 publications

References 27 publications

Minimally invasive ureteroplasty with lingual mucosal graft for complex ureteral stricture: analysis of surgical and patient-reported outcomes

Minimally invasive ureteroplasty with lingual mucosal graft for complex ureteral stricture: analysis of surgical and patient-reported outcomes

Rol del personal de salud ante la cirugía robótica

Management for Benign Ureteral Stricture: Comparison of Robot-Assisted Laparoscopy, Conventional Laparoscopy, and Balloon Dilation

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