Laparoscopic ONLAY ureteroplasty using buccal mucosa graft for long recurrent stricture of the upper third of the ureter
- Authors: Volkov A.A1,2, Budnik N.V1, Zuban O.N2
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Affiliations:
- SBI «Hospital for War Veterans» of the Rostov region
- Clinic No 2 of SBHI «Moscow City Scientific and Practical Center for Tuberculosis Control of the Department of Health of Moscow»
- Issue: No 5 (2021)
- Pages: 69-72
- Section: Articles
- URL: https://journals.eco-vector.com/1728-2985/article/view/312701
- DOI: https://doi.org/10.18565/urology.2021.5.69-72
- ID: 312701
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Abstract
Long strictures of the upper third of the ureter are most often recurrent and occur after endourological and reconstructive procedures. The lack of native tissues and an impossibility of substitution by bowel segment in some cases dictates the use of alternative surgical techniques. Our first experience of laparoscopic onlay ureteroplasty using buccal graft for long stricture of the upper third of the ureter is described in the article. The length of the stricture was 6 cm. The operation time was 210 minutes, while blood loss volume was less than 100 ml. The patient did not have any surgical complications. Drains were removed in timely manner. The patient was discharged from the hospital in a satisfactory condition on the 8-th day. The ureteral stent was removed after 4 weeks. Kidney ultrasound was performed on a monthly basis. According to IVU after 4 months, the anastomosis was completely patent. This method can be considered as an alternative to more complex procedures in selected patients.
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About the authors
A. A Volkov
SBI «Hospital for War Veterans» of the Rostov region; Clinic No 2 of SBHI «Moscow City Scientific and Practical Center for Tuberculosis Control of the Department of Health of Moscow»
Email: volkov73a@bk.ru
Ph.D., urologist of the highest category, head of the Surgical center
N. V Budnik
SBI «Hospital for War Veterans» of the Rostov region
Email: budnik@rambler.ru
Ph.D., urologist of the highest category, head
O. N Zuban
Clinic No 2 of SBHI «Moscow City Scientific and Practical Center for Tuberculosis Control of the Department of Health of Moscow»
Email: pan_zuban@msn.com
Ph.D., professor, urologist of the highest category, Deputy Director on Medical Care
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