{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,10]],"date-time":"2026-11-10T17:21:31Z","timestamp":1794331291877,"version":"4.9.0"},"reference-count":27,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T00:00:00Z","timestamp":1782172800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"China Capital\u2019s Funds for Health Improvement","award":["2022-2-5083"],"award-info":[{"award-number":["2022-2-5083"]}]},{"name":"Self Funded Project by the Municipal and State Health Commission","award":["20253860"],"award-info":[{"award-number":["20253860"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Endourology"],"published-print":{"date-parts":[[2026,10,1]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>Compare the long-term effectiveness of appendiceal interposition ureteroplasty (AIU) and appendiceal onlay ureteroplasty (AOU) in addressing complex proximal ureteral (CPU) strictures in children.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients and Methods:<\/jats:title>\n                    <jats:p>\n                      A retrospective review of patients who underwent minimally invasive AIU and AOU for CPU strictures between March 2010 and August 2020. Patients were stratified into two groups based on the surgical technique: AIU group (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 11) and AOU group (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 29). Baseline characteristics, perioperative variables, and follow-up data were assessed in both groups.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      All procedures were completed effectively without the need for conversion. There were no significant differences for the AIU versus AOU groups in median age at operation (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.686), disease side (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.715), preoperative split renal function of the affected kidney (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.906), type of surgical procedure (laparoscopy-\n                      <jats:italic toggle=\"yes\">vs<\/jats:italic>\n                      robot-assisted,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.498), and the mean stricture length (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.166). Operation time was significantly longer in the AIU group (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.001). There were no intraoperative complications, and the estimated blood loss (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.579), postoperative hospital stay (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.557), and Grade I\u2013\u2161 complications (AIU: 8\/11\n                      <jats:italic toggle=\"yes\">vs<\/jats:italic>\n                      AOU: 18\/29,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.715) were similar between the two groups. At a median follow-up of 6 years, the success rates for the AOU group were significantly higher than the AIU group (96.6%\n                      <jats:italic toggle=\"yes\">vs<\/jats:italic>\n                      54.6%;\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.004).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>AOU is a safe and effective technique for managing CPU strictures in children, whereas AIU is not recommended for pediatric patients because of its potential for decreased success rates over time, primarily because of complications such as anastomotic stenosis and progressive hydronephrosis.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/08927790261461242","type":"journal-article","created":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T10:10:09Z","timestamp":1782209409000},"page":"1116-1122","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Comparison of Appendiceal Onlay Ureteroplasty and Appendiceal Interposition Ureteroplasty for Complex Proximal Ureteral Strictures in Children: Insights Gained from Long-Term Follow-Up"],"prefix":"10.1177","volume":"40","author":[{"given":"Jianhua","family":"Wen","sequence":"first","affiliation":[{"name":"Department of Urology, The Central Hospital of Yongzhou, Yongzhou, China."},{"name":"Department of Urology, Yongzhou Hospital Affiliated to University of South China, Yongzhou, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaoguang","family":"Zhou","sequence":"additional","affiliation":[{"name":"Department of Urology, Senior Department of Pediatrics, Chinese PLA General Hospital, Beijing, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hualin","family":"Cao","sequence":"additional","affiliation":[{"name":"Department of Urology, Nanxishan Hospital (the Second People\u2019s Hospital) of Guangxi Zhuang Autonomous Region, Guilin, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zelin","family":"Cui","sequence":"additional","affiliation":[{"name":"Department of Urology, The Central Hospital of Yongzhou, Yongzhou, China."},{"name":"Department of Urology, Yongzhou Hospital Affiliated to University of South China, Yongzhou, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bowen","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Urology, The First Affiliated Hospital of Guangxi Medical University, Nanning, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nini","family":"An","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Guizhou Provincial People\u2019s Hospital, Guiyang, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yanfang","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Urology, Children\u2019s Hospital Affiliated to Zhengzhou University, Zhengzhou, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qian","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yun","family":"Zhou","sequence":"additional","affiliation":[{"name":"Department of Urology, Hebei Children\u2019s Hospital, Shijiazhuang, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dehong","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai. China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Huixia","family":"Zhou","sequence":"additional","affiliation":[{"name":"Department of Urology, Senior Department of Pediatrics, Chinese PLA General Hospital, Beijing, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1428-5812","authenticated-orcid":false,"given":"Pin","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Urology, Senior Department of Pediatrics, Chinese PLA General Hospital, Beijing, China."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,6,23]]},"reference":[{"key":"e_1_3_5_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2024.04.025"},{"key":"e_1_3_5_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2015.05.088"},{"key":"e_1_3_5_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2021.07.012"},{"key":"e_1_3_5_5_1","doi-asserted-by":"publisher","DOI":"10.1089\/end.2024.0342"},{"key":"e_1_3_5_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00345-024-04825-5"},{"key":"e_1_3_5_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2021.10.007"},{"key":"e_1_3_5_8_1","doi-asserted-by":"publisher","DOI":"10.1089\/end.2020.0643"},{"key":"e_1_3_5_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/bju.12651"},{"key":"e_1_3_5_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2020.07.078"},{"key":"e_1_3_5_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpurol.2018.06.017"},{"key":"e_1_3_5_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2025.162316"},{"key":"e_1_3_5_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.sla.0000133083.54934.ae"},{"key":"e_1_3_5_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11255-021-02985-6"},{"key":"e_1_3_5_15_1","doi-asserted-by":"publisher","DOI":"10.21037\/tau-21-998"},{"key":"e_1_3_5_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00345-024-04933-2"},{"key":"e_1_3_5_17_1","doi-asserted-by":"publisher","DOI":"10.1089\/end.2006.0150"},{"key":"e_1_3_5_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/iju.14222"},{"key":"e_1_3_5_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2020.06.062"},{"key":"e_1_3_5_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(05)67595-7"},{"key":"e_1_3_5_21_1","doi-asserted-by":"publisher","DOI":"10.1002\/rcs.2589"},{"key":"e_1_3_5_22_1","doi-asserted-by":"publisher","DOI":"10.1089\/cren.2020.0105"},{"key":"e_1_3_5_23_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11934-021-01056-8"},{"key":"e_1_3_5_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2023.02.027"},{"key":"e_1_3_5_25_1","doi-asserted-by":"publisher","DOI":"10.21037\/tau-21-840"},{"key":"e_1_3_5_26_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00345-025-06048-8"},{"key":"e_1_3_5_27_1","doi-asserted-by":"publisher","DOI":"10.1111\/bju.16523"},{"key":"e_1_3_5_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0022-3468(99)90117-3"}],"container-title":["Journal of Endourology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/08927790261461242","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/08927790261461242","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/08927790261461242","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T04:46:09Z","timestamp":1790570769000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/08927790261461242"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,23]]},"references-count":27,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2026,10,1]]}},"alternative-id":["10.1177\/08927790261461242"],"URL":"https:\/\/doi.org\/10.1177\/08927790261461242","relation":{},"ISSN":["0892-7790","1557-900X"],"issn-type":[{"value":"0892-7790","type":"print"},{"value":"1557-900X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,23]]}}}