Evidence map›Paper›PMID 41212298›Full record

ArticleWorld journal of urology2025

Laparoscopic ureteroplasty for the treatment of long ureteral strictures with appendiceal interposition and appendiceal onlay flap: technical description and initial experience.

Bo Zhang, Jiawen Chen, Xiang Chen, Longfei Liu, Yao He, Yu Gan, Bingsheng Li, Yong Li, Weibing Long, Zhijun Han and 1 more

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Article in World journal of urology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Bo ZhangDepartment of Urology, Xiangya Hospital, Central South University, Xiangya Road 87, Changsha, 410008, Hunan, China.
Jiawen ChenDepartment of Urology, Xiangya Hospital, Central South University, Xiangya Road 87, Changsha, 410008, Hunan, China.
Xiang ChenDepartment of Urology, Xiangya Hospital, Central South University, Xiangya Road 87, Changsha, 410008, Hunan, China.
Longfei LiuDepartment of Urology, Xiangya Hospital, Central South University, Xiangya Road 87, Changsha, 410008, Hunan, China.
Yao HeDepartment of Urology, Xiangya Hospital, Central South University, Xiangya Road 87, Changsha, 410008, Hunan, China.
Yu GanDepartment of Urology, Xiangya Hospital, Central South University, Xiangya Road 87, Changsha, 410008, Hunan, China.
Bingsheng LiDepartment of Urology, Xiangya Hospital, Central South University, Xiangya Road 87, Changsha, 410008, Hunan, China.
Yong LiDepartment of Urology, Second Affiliated Hospital, University of South China, Hengyang, Hunan, China.
Weibing LongDepartment of Urology, Loudi City Central Hospital, Loudi, Hunan, China.
Zhijun HanDepartment of Urology, Zhuzhou City Central Hospital, Loudi, Hunan, China.
Zhi ChenDepartment of Urology, Xiangya Hospital, Central South University, Xiangya Road 87, Changsha, 410008, Hunan, China. czhi1011@csu.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLaparoscopic ureteral reconstruction using the appendix is a novel and minimally invasive technique for treating long ureteral strictures. This study aims to report our initial experience and outcomes of laparoscopic appendiceal onlay flap ureteroplasty (LAOU) and laparoscopic appendiceal interposition ureteroplasty (LAIU) in patients with long ureteral strictures.

methodsData of 16 patients with right long ureteral strictures underwent either LAOU or LAIU between October 2021 and January 2025 in a single center were collected retrospectively. The pre-, intra-, and postoperative variables and follow-up results were analyzed.

resultsTen (62.5%) patients underwent LAIU, and six (37.5%) underwent LAOU. The mean stricture length was 3.2 cm (range, 2.0-5.0 cm), the operative time was 200.6 min (range, 150-240 min), the estimated blood loss was 84.4 mL (range, 50-200 mL), and the mean postoperative hospital stay was 5.9 days (range, 4-8 days). With a mean follow-up of 14.9 months (range, 3-30 months), the overall success rate was 93.8%. There was no significant difference in the parameters between LAOU and LAIU surgical procedures.

conclusionsLaparoscopic appendiceal ureteroplasty is a viable option for treating long-segment ureteral strictures on the right side. The choice between appendiceal onlay or interposition depends on the specific condition of the strictures.

Indexed as

AppendixLaparoscopyPlastic Surgery ProceduresSurgical FlapsUreterUreteral ObstructionUrologic Surgical ProceduresAdultAgedConstriction, PathologicFemaleHumansMaleMiddle AgedRetrospective StudiesAppendiceal interpositionAppendixLaparoscopyOnlay repairUreteroplasty

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.