Laparoscopic totally intracorporeal ileal ureter replacement: a multi-institutional study

Кочкин, А Д; Tokas, Theodoros; Gallyamov, E. A.; Биктимиров, Р. Г.; Санжаров, А. Е.; Сергеев, В. П.; Popov, S.V.; Gözen, Ali Serdar

doi:10.1080/13645706.2020.1762094

Cited by 7 publications

(4 citation statements)

References 23 publications

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“…For example, Kochkin A et al [ 12 ] reported the experience of 40 cases of total intracorporeal laparoscopic IUR for the treatment of long ureteral defects, which required a change in table position during the procedure. In addition, it has been reported that the current robot used to perform IUR must be undocked and redocked during the ileovesical anastomosis stage of the procedure [ 4 ].…”

Section: Discussionmentioning

confidence: 99%

“…Thereare limited TILIUR reports for treating postoperative cervical cancer radiotherapy-induced ureteral strictures. Gözen AS et al [ 12 ] reported 40 cases of TILIUR in 2020, one of which was for ureteral strictures caused by cervical surgery followed by radiotherapy, and the mean operative time in this series was 335 (150–680) minutes, with a mean estimated blood loss of 221 (50–400) ml; Li B et al [ 14 ]reported two cases in 2021, with operative times of 420 min and 410 min per patient and an estimated blood loss of 120 ml and 100 ml, respectively; Li X et al [ 15 ] reported 15 cases of robotic-assisted total intracorporeal robot-assisted ileal ureter replacement (RA-IUR) in 2023, with 7 patients treated with unilateral RA-IUR and 8 patients treated with bilateral RA-IUR, with a mean operative time of 261.8 min (183–381 min) and an estimated blood loss of 64.7 ml (30–100 ml), including 7 patients who had surgery for cervical cancer plus radiotherapy. Our series were all in this category, with a mean operative time of 458 min (385–575 min) and an estimated blood loss of 158 ml (50–400 ml).…”

Section: Discussionmentioning

confidence: 99%

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Total intracorporeal laparoscopic ileal ureter replacement in a single position for ureteral stricture based on membrane anatomy

Wu,

Li,

Luo

et al. 2024

BMC Surg

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Purpose The aim of this study was to present our initial experience and prove the feasibility of total intracorporeal laparoscopic ileal ureter replacement (TILIUR) in a single position for ureteral stricture based on membrane anatomy. Materials and methods Between January 2021 and April 2023, six patients underwent TILIUR in a single position for ureteral strictures based on membrane anatomy. All patients with a past medical history underwent radical hysterectomy with bilateral pelvic lymph node dissection as well as extensive ureteral stricture due to radiotherapy. The procedure is performed completely laparoscopically. Dissection of the digestive system as well as ureteral stricture or renal pelvis is based on membrane anatomy. The surgery is performed in a single position. Results TILIUR in a single position for ureteral stricture based on membrane anatomy was successfully performed without open conversion in all patients. Among the 6 patients, 3 patients underwent combined ileal ureter replacement (IUR) and abdominal wall ostomy, 2 underwent unilateral IUR, and 1 underwent bilateral IUR. The mean length of the ileal substitution was 22.83 cm (range: 15–28). The average operative time was 458 ± 72.77 min (range 385–575 min), and the average intraoperative blood loss was 158 mL (range 50–400 mL). The median postoperative hospital stay was 15.1 d (range: 8–32). The median duration of postoperative follow-up was 15 months (range: 3–29 months). The success rate was 100%. Conclusions TILIUR in a single position may be a promising option for ureteral stricture based on membrane anatomy in selected patients. Moreover, it has a positive effect on patients with renal insufficiency and urinary incontinence. Although IUR is difficult and risky, proficient surgeons can perform the procedure safely and effectively.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Total intracorporeal laparoscopic ileal ureter replacement in a single position for ureteral stricture based on membrane anatomy

Wu,

Li,

Luo

et al. 2024

BMC Surg

View full text Add to dashboard Cite

show abstract

“…Thereare limited TILIUR reports for treating postoperative cervical cancer radiotherapy-induced ureteral strictures. Gözen AS et al 12 reported 40 cases of TILIUR in 2020, one of which was for ureteral strictures caused by cervical surgery followed by radiotherapy, and the mean operative time in this series was 335 (150-680) minutes, with a mean estimated blood loss of 221 (50-400) ml; Li B et al 14 reported two cases in 2021, with operative times of 420 min and 410 min per patient and an estimated blood loss of 120 ml and 100 ml, respectively; Li X et al 15 reported 15 cases of robotic-assisted total intracorporeal robot-assisted ileal ureter replacement (RA-IUR) in 2023, with 7 patients treated with unilateral RA-IUR and 8 patients treated with bilateral RA-IUR, with a mean operative time of 261.8 min (183-381 min) and an estimated blood loss of 64.7 ml (30-100 ml), including 7 patients who had surgery for cervical cancer plus radiotherapy. Our series were all in this category, with a mean operative time of 458 min (385-575 min) and an estimated blood loss of 158 ml (50-400 ml).…”

Section: Discussionmentioning

confidence: 99%

Total intracorporeal laparoscopic ileal ureter replacement in a single position for ureteral stricture based on membrane anatomy

Wu,

Li,

Luo

et al. 2023

Preprint

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Purpose The aim of this study was to present our initial experience and prove the feasibility of total intracorporeal laparoscopic ileal ureter replacement (TILIUR) in a single position for ureteral stricture based on membrane anatomy. Materials and methods Between January 2021 and April 2023, six patients underwent TILIUR in a single position for ureteral strictures based on membrane anatomy. All patients with a past medical history underwent radical hysterectomy with bilateral pelvic lymph node dissection as well as extensive ureteral stricture due to radiotherapy. The procedure is performed completely laparoscopically. Dissection of the digestive system as well as ureteral stricture or renal pelvis is based on membrane anatomy. The surgery is performed in a single position. Results TILIUR in a single position for ureteral stricture based on membrane anatomy was successfully performed without open conversion in all patients. Among the 6 patients, 3 patients underwent combined ileal ureter replacement (IUR) and abdominal wall ostomy, 2 underwent unilateral IUR, and 1 underwent bilateral IUR. The mean length of the ileal substitution was 22.83 cm (range: 15-28). The average operative time was 458 ± 72.77 minutes (range 385-575 minutes), and the average intraoperative blood loss was 158 mL (range 50-400 mL). The median postoperative hospital stay was 15.1 d (range: 8–32). The median duration of postoperative follow-up was 15 months (range: 3-29 days). The success rate was 100%. Conclusions TILIUR in a single position may be a promising option for ureteral stricture based on membrane anatomy in selected patients. Moreover, it has a positive effect on patients with renal insufficiency and urinary incontinence. Although IUR is difficult and risky, proficient surgeons can perform the procedure safely and effectively.

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“…Laparoscopic ileal ureter replacement has become increasingly popular in recent years due to the minimally invasive nature of the procedure. Several studies have shown that laparoscopic ileal ureter replacement can be performed safely and effectively ( 1 , 8 , 9 ). The procedure is particularly beneficial for patients who have had previous failed repairs or who have complex ureteral strictures ( 10 ).…”

mentioning

confidence: 99%

Advancements in minimally invasive bilateral ileal ureter replacement: a promising approach for complex long-segment ureteric strictures

Harrison,

Munien,

Desai

2023

Transl Androl Urol

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Laparoscopic totally intracorporeal ileal ureter replacement: a multi-institutional study

Cited by 7 publications

References 23 publications

Total intracorporeal laparoscopic ileal ureter replacement in a single position for ureteral stricture based on membrane anatomy

Total intracorporeal laparoscopic ileal ureter replacement in a single position for ureteral stricture based on membrane anatomy

Total intracorporeal laparoscopic ileal ureter replacement in a single position for ureteral stricture based on membrane anatomy

Advancements in minimally invasive bilateral ileal ureter replacement: a promising approach for complex long-segment ureteric strictures

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