Transabdominal Laparoscopic Ureteroureterostomy With the Intraoperative Retrograde Ureteroscopy-Assisted Technique for Multiple Ureteral Polyps: A Single-Center 10 Years Experiences

Weiping Xia; Weiping Xia; Xiang Chen; Xiang Chen; Bingsheng Li; Bingsheng Li; Hequn Chen; Hequn Chen; Zewu Zhu; Zewu Zhu; Yao He; Yao He; Yu Gan; Yu Gan; Bo Zhang; Bo Zhang; Kangning Wang; Kangning Wang; Yang Li; Yang Li; Zexiang Jiang; Zexiang Jiang; Jin Long; Zhi Chen; Zhi Chen

doi:10.3389/fsurg.2022.814290

Frontiers in Surgery (Feb 2022)

Transabdominal Laparoscopic Ureteroureterostomy With the Intraoperative Retrograde Ureteroscopy-Assisted Technique for Multiple Ureteral Polyps: A Single-Center 10 Years Experiences

Weiping Xia,
Weiping Xia,
Xiang Chen,
Xiang Chen,
Bingsheng Li,
Bingsheng Li,
Hequn Chen,
Hequn Chen,
Zewu Zhu,
Zewu Zhu,
Yao He,
Yao He,
Yu Gan,
Yu Gan,
Bo Zhang,
Bo Zhang,
Kangning Wang,
Kangning Wang,
Yang Li,
Yang Li,
Zexiang Jiang,
Zexiang Jiang,
Jin Long,
Zhi Chen,
Zhi Chen

Affiliations

Weiping Xia: Department of Urology, Xiangya Hospital, Central South University, Changsha, China
Weiping Xia: National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, China
Xiang Chen: Department of Urology, Xiangya Hospital, Central South University, Changsha, China
Xiang Chen: National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, China
Bingsheng Li: Department of Urology, Xiangya Hospital, Central South University, Changsha, China
Bingsheng Li: National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, China
Hequn Chen: Department of Urology, Xiangya Hospital, Central South University, Changsha, China
Hequn Chen: National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, China
Zewu Zhu: Department of Urology, Xiangya Hospital, Central South University, Changsha, China
Zewu Zhu: National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, China
Yao He: Department of Urology, Xiangya Hospital, Central South University, Changsha, China
Yao He: National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, China
Yu Gan: Department of Urology, Xiangya Hospital, Central South University, Changsha, China
Yu Gan: National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, China
Bo Zhang: Department of Urology, Xiangya Hospital, Central South University, Changsha, China
Bo Zhang: National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, China
Kangning Wang: Department of Urology, Xiangya Hospital, Central South University, Changsha, China
Kangning Wang: National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, China
Yang Li: Department of Urology, Xiangya Hospital, Central South University, Changsha, China
Yang Li: National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, China
Zexiang Jiang: Department of Urology, Xiangya Hospital, Central South University, Changsha, China
Zexiang Jiang: National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, China
Jin Long: Department of Urology, The Second Affiliated Hospital, Guizhou Medical University, Kaili, China
Zhi Chen: Department of Urology, Xiangya Hospital, Central South University, Changsha, China
Zhi Chen: National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, China

DOI: https://doi.org/10.3389/fsurg.2022.814290
Journal volume & issue: Vol. 9

Abstract

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BackgroundThe purpose of this study was to report our experience in treating multiple ureteral polyps with transabdominal laparoscopic ureteroureterostomy (LAP-UU) with intraoperative retrograde ureteroscopy (RU)-assisted technique.MethodsThe data of 32 patients who underwent transabdominal LAP-UU with the intraoperative RU-assisted technique due to multiple ureteral polyps between January 2011 and March 2021 were reviewed at our institute. After administration of anesthesia, patients were placed in a passive position and underwent a three-port transabdominal laparoscopy with RU. Detailed data were reviewed, such as demographic characteristics, intraoperative outcomes, postoperative data, complications, and pathology reports.ResultsThirty-two patients were diagnosed with multiple ureteral polyps underwent this surgery method at our institution. The mean duration of symptoms at the time of diagnosis was approximately 7.1 months. The mean age of patients was 42.4 years, with men accounting for 68.8% (22/32), lesion of left for 56.3% (18/32), and the upper ureter for 62.5% (20/32). Furthermore, the median length of the polyps was 3.6 cm, the mean operative time was 174.6 min, and the estimated blood loss (EBL) was about 86.8 ml. The mean time to begin a liquid diet and to be out of bed were 1.7 and 2.3 days, respectively. The average length of hospital stay was 6.3 days. The ureteral stent was removed by cystoscope 2–3 months after surgery. Follow-up duration ranged from 3 to 112 months and none of the patients required another surgery for recurrence.ConclusionTransabdominal LAP-UU combined with the intraoperative RU-assisted technique is an effective, safe, and reliable surgical option for patients with multiple ureteral polyps. Further long-term follow-up is recommended.

Published in Frontiers in Surgery

ISSN: 2296-875X (Online)
Publisher: Frontiers Media S.A.
Country of publisher: Switzerland
LCC subjects: Medicine: Surgery
Website: https://www.frontiersin.org/journals/surgery

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