ArticleInternational urology and nephrology2021
Laparoscopic and robotic ureteroplasty using onlay flap or graft for the management of long proximal or middle ureteral strictures: our experience and strategy.
Article in International urology and nephrology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it, 41 citations in OpenAlex.
- Pooled it
- Appendiceal ureteroplasty - optimization of technique and considerations for successful ureter repair.Journal of robotic surgery · 2026Review
- Safety and efficacy of lingual mucosa graft ureteroplasty in managing ureteric strictures: a systematic review.International urology and nephrology · 2026Article
- Ureteral stricture: current treatment algorithm and key surgical principles in the robotic upper urinary tract reconstruction era.World journal of urology · 2026Review
- Robot-assisted ureteral reconstruction using buccal mucosal graft for traumatic complete ureteral avulsion: a rare case report.Translational andrology and urology · 2025Article
- [Robot-assisted laparoscopic ureteroplasty with buccal mucosa graft for complex ureteral stricture].Beijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences · 2024Article
- Robotic buccal mucosal graft ureteroplasty using combination of posterior-inlay and anterior-onlay technique.Translational andrology and urology · 2024Article
- The modified Whitaker test in evaluating the surgical effect after ileal ureter replacement.World journal of urology · 2024Article
- Minimally invasive versus open ileal ureter with ileocystoplasty: comparative outcomes and 5-year experience.BMC urology · 2024Article
- The Whitaker test: a predictive tool for evaluating the surgical efficacy of upper urinary tract reconstruction in patients carrying a nephrostomy tube after surgery.International urology and nephrology · 2024Observational
- Combination of robot-assisted laparoscopy and ureteroscopy for the management of complex ureteral strictures.BMC urology · 2023Article
- Robotic versus laparoscopic ureteroplasty with a lingual mucosa graft for complex ureteral stricture.International urology and nephrology · 2023Article
- Robot-assisted laparoscopic ileal ureter replacement with extracorporeal ileal segment preparation for long ureteral strictures: a case series.BMC surgery · 2022Article
- Modified robotic-assisted laparoscopic pyeloplasty in children for ureteropelvic junction obstruction with long proximal ureteral stricture: The "double-flap" technique.Frontiers in pediatrics · 2022Article
- A ureteral stricture disease score and classification system: correlation with upper urinary tract reconstructive surgery complexity.Translational andrology and urology · 2021Article
- Should ureteroscopy be performed for patients after ureteral reconstruction with autologous onlay flap/graft?Translational andrology and urology · 2021Article
- Minimally invasive (laparoscopic/robotic) ureteroplasty for long segment proximal and mid ureteral strictures.International urology and nephrology · 2021Review
- Robotic reconstruction for benign upper urinary tract obstruction: a review of the current literature.Therapeutic advances in urologyReview
- Minimally invasive ureteroplasty with lingual mucosal graft for complex ureteral stricture: analysis of surgical and patient-reported outcomes.International braz j urol : official journal of the Brazilian Society of UrologyArticle
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Authors and funding
15 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo present our experience of laparoscopic and robotic ureteroplasty using onlay flap or graft for the management of long proximal or middle ureteral strictures and summarize our treatment strategies for these challenging scenarios.
methodsFrom March 2018 to January 2020, 53 patients with long proximal/middle ureteral strictures (2-6 cm) who underwent laparoscopic or robotic onlay flap/graft ureteroplasty were retrospectively enrolled. Different reconstruction techniques were chosen based on our management strategy: pelvic flap (PF) was the first choice for proximal stricture if pelvic tissue was sufficient for repair, while appendiceal flap (AF) was preferred over oral mucosa graft for both proximal and middle strictures.
resultsA total of 28 PFs, 9 AFs and 16 lingual mucosa grafts (LMGs) onlay ureteroplasty were performed successfully, with 33 laparoscopic procedures and 20 robotic procedures being undertaken. No intraoperative complications or conversion occurred. The median stricture length was 4 cm (range 2-6 cm). Compared with laparoscopic procedures, robotic procedures showed significantly shorter operative time (P = 0.008), shorter postoperative hospital stay (P = 0.011) but higher hospital cost (P < 0.001). At a mean follow-up of 12.8 months, the overall success rate was 94.3%. There was no difference in postoperative complications or the success rate between the approaches.
conclusionLaparoscopic and robotic onlay flap/graft ureteroplasty can be safe and feasible to repair long proximal/middle ureteral strictures while robotic procedures showed higher efficiency, faster recovery but higher cost. Our algorithmic strategies may provide beneficial references for their standardization and dissemination into clinical care.
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