Laparoscopic and robotic management of ureteral strictures in adults

Postgraduate Thesis uoadl:2940654 105 Read counter

Unit:
Κατεύθυνση Ελάχιστα Επεμβατική Χειρουργική, Ρομποτική Χειρουργική και Τηλεχειρουργική
Library of the School of Health Sciences
Deposit date:
2021-04-09
Year:
2021
Author:
Kapogiannis Filippos
Supervisors info:
Στραβοδήμος Κωνσταντίνος, Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Δημητρούλης Δημήτριος, Αναπληρωτής Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Τσουρούφλης Γεράσιμος, Επίκουρος Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Original Title:
Laparoscopic and robotic management of ureteral strictures in adults
Languages:
English
Translated title:
Laparoscopic and robotic management of ureteral strictures in adults
Summary:
Background/Aim: The aim of this review was to provide an update on the status of minimal invasive treatment of ureteral stricture either with a laparoscopic or robotic surgery..
Materials and Methods: Eligible studies, published until November 2019 were retrieved through Medline, Cochrane and Pubmed databases. Predetermined inclusion and exclusion criteria were used as selection method for data synthesis and acquisition. The study was performed in accordance with the PRISMA statement. Results: A total of 19 retrospective studies met the inclusion criteria. All of them demonstrated the safety, feasibility and success of both laparoscopic and robotic ureteral reconstruction. Individual case series or cumulative comparison analysis of the available studies showed at least equivalent success rates and a trend favoring laparoscopic and robotic groups in terms of estimated blood loss and length of hospital stay to the detriment of longer operative times and possibly higher cost.
Results: A total of 19 retrospective studies met the inclusion criteria. All of them demonstrated the safety, feasibility and success of both laparoscopic and robotic ureteral reconstruction. Individual case series or cumulative comparison analysis of the available studies showed at least equivalent success rates and a trend favoring laparoscopic and robotic groups in terms of estimated blood loss and length of hospital stay to the detriment of longer operative times and possibly higher cost.
Conclusion: Current evidence suggests the effectiveness, safety and increasing incorporation of minimally invasive techniques for complex stricture repair and reconstruction.
Main subject category:
Health Sciences
Keywords:
Ureter, Stricture, Reconstruction, Laparoscopic, Robotic, Systematic review
Index:
No
Number of index pages:
0
Contains images:
Yes
Number of references:
45
Number of pages:
30
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