The application of ureteral degloving technique in laparoscopic non-functional severe hydronephrosis duplicated upper pole heminephrectomy

doi:10.3877/cma.j.issn.1674-3253.2025.01.009

Abstract

Abstract:

Objective

To investigate the safety and feasibility of ureteral degloving technique for the treatment of non-functional severe hydronephrosis duplicated upper pole heminephrectomy by laparoscope.

Methods

Retrospective analysis was conducted on the clinical data of 4 duplex kidneys patients with severe hydronephrosis and non-functional upper-pole moiety who were treated in Dongguan People's Hospital from March 2016 to May 2020.

Results

All 4 patients were successfully operated，and no patients were converted to open surgery. The operation time was 120-220 minutes. Intraoperative bleeding volume was 50-300 ml. Postoperative hospital stay was 5-13 d and postoperative indwelling drainage was 3-7 d. All patients had no serious complications， and the follow-up results were satisfactory.

Conclusions

The technique of ureteral degloving can solve the problem of vascular injury when dissecting the upper-pole renal hilum and incomplete removal of the upper-pole moiety. It is worth popularizing in clinical practice.

Key words: Duplex kidneys, Kidney malformation, Laparoscope, Nephrectomy, Technology enhancement

Zhaohua Ye, Zhixiong Li, Jiexin Luo, Shaoqian Liu, Mu Li, Qiwu Mi. The application of ureteral degloving technique in laparoscopic non-functional severe hydronephrosis duplicated upper pole heminephrectomy[J]. Chinese Journal of Endourology(Electronic Edition), 2025, 19(01): 47-52.

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URL: https://zhqjmnmwkzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.1674-3253.2025.01.009

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References 26

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