Inserting ureterovesical reimplantation by means of laparoscopy associated with six-stitch suture / 中国内镜杂志

ABSTRACT

Objective To discuss the safety and efficacy of inserting ureterovesical reimplantation by means of laparoscopy associated with six-stitch suture.Methods There was an retrospective analysis on operation videos and clinical data for 16 participants of inserting ureterovesical reimplantation by means of laparoscopy associated with six-stitch suture with the period from March in 2012 to September in 2015. And these were statistically analyzed including the operation time, intraoperative bleeding volume, postoperative drainage volume, removal time of drainage tube, admission time after operation and the incidence of postoperative complications of vesicoureteric reflux and stenosis.Results The operations of 16 participants were completed successfully without converting to open surgery. The operation time was 60 ~ 125 min (Mean time 85 min); intraoperative bleeding volume was 20 ~ 50 ml (Mean volume 32 ml); postoperative drainage volume was 60 ~ 400 ml (Mean volume 106 ml); removal time of drainage tube was 3 ~ 6 d (Mean time 4.2 d) and admission time after operation was 7 ~ 10 d (Mean time 8.5 d). There was the follow-up with 6 ~ 18 months (Mean time 12 months) for participants. No anastomotic stenosis was present. In addition, one participant was suffered from mild vesicoureteric relfux. And there was no aggravation during 18 months.Conclusions The inserting ureterovesical reimplantation by means of laparoscopy associated with six-stitch suture was safe and effective. It was found that the operation time was significantly shortened and the incidence of postoperative complications of vesicoureteric relfux and anastomotic stenosis was not increased. By contrast, the six-stitch suture could reduce the incidence of anastomotic stenosis.