目的：探讨机器人辅助全体内回肠代输尿管术治疗输尿管全段撕脱伤后输尿管全段狭窄或缺如的可 行性及临床效果。方法：对本院 2021 年 12 月—2023 年 2 月收治的 4 例输尿管镜钬激光碎石术后输尿管全段撕脱伤 导致的输尿管全段狭窄或缺如的患者行机器人辅助完全体内回肠代输尿管术。所有患者均在撕脱伤后即刻行肾造瘘 术或输尿管残端皮肤造口术，术后 3 个月来本院二期手术。结果：4 例手术均获得成功，随访 3~24 个月无或轻度肾 积水，无其他并发症发生。结论：机器人辅助全体内回肠代输尿管术是治疗输尿管全段撕脱伤后输尿管全段狭窄或 缺如的可行手术方式，具有一体位、创口小、恢复快、并发症少等优势。

Objective: To investigate the feasibility and clinical effect of totally intracorporeal robot-assisted ileal ureteral replacement (RA-IUR) in the treatment of ureteral stricture or absence after total avulsion. Methods: Totally intracorporeal RA-IUR was performed on 4 patients in our hospital from December 2021 to February 2023 for ureteral total avulsion injury resulting in total ureteral stenosis or absence caused by ureteroscopic holmium laser lithotripsy. All patients underwent nephrostomy or cutaneous ureterostomy immediately after avulsion injury. Results: All the 4 cases of surgery were successfully completed. No mild hydronephrosis or other complications occurred during 3-24 months of follow-up. Conclusion: Totally intracorporeal RA-IUR is a feasible surgical method for ureteral stenosis or absence caused by total ureteral avulsion injury, and it has the advantages of single-position, small wound, quick recovery and few complications.

收稿日期：2024-01-31  录用日期：2024-04-18 

Received Date: 2024-01-31  Accepted Date: 2024-04-18 

基金项目：陕西省重点研发计划项目（2022SF-465） 

Foundation Item: Key R & D Plan Project of Shaanxi Province(2022SF-465) 

通讯作者：杜宏纲，Email：504606307@qq.com 

Corresponding Author: DU Honggang, Email: 504606307@qq.com 

引用格式：屈卫星，周建成，李晶，等 . 机器人辅助全体内回肠代输尿管术治疗输尿管全段撕脱伤后输尿管全段狭窄或缺如的临 床效果分析（附手术视频）[J]. 机器人外科学杂志（中英文），2024，5（5）：910-914. 

Citation: QU W X, ZHOU J C, LI J, et al. Clinical analysis of totally intracorporeal robot-assisted ileal ureteral replacement for ureteral stenosis or absence after total ureteral avulsion (with surgical video)[J]. Chinese Journal of Robotic Surgery, 2024, 5(5): 910-914.

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