腔内切开肾盂术

Acucise endopyelotomy.

作者信息

Nakada S Y

机构信息

Department of Surgery, University of Wisconsin Medical School, Madison, USA.

出版信息

Urology. 2000 Feb;55(2):277-82. doi: 10.1016/s0090-4295(99)00393-3.

DOI:10.1016/s0090-4295(99)00393-3

PMID:10688094

Abstract

INTRODUCTION

The evolution of minimally invasive therapy for ureteropelvic junction (UPJ) obstruction has culminated with the Acucise endopyelotomy. Antegrade endopyelotomy, laparoscopic pyeloplasty, and ureteroscopic endopyelotomy all offer excellent minimally invasive alternatives to open pyeloplasty, yet still represent more invasive techniques than the Acucise endopyelotomy in treating the obstructed UPJ.

TECHNICAL CONSIDERATIONS

The Acucise endopyelotomy is a straightforward, efficacious, and safe procedure in the appropriate patient for treating UPJ obstruction. Under fluoroscopic guidance, the latest version of the Acucise allows the urologist to perform a retrograde pyelogram, position the Acucise catheter, make the incision, and place a ureteral stent, all over a single guide wire. In my experience, this latest technical modification has further simplified the procedure for the practicing urologist.

CONCLUSIONS

In 2000, the Acucise endopyelotomy continues to represent an excellent minimally invasive option for all urologists who choose to perform endopyelotomies.

摘要

引言

输尿管肾盂连接部（UPJ）梗阻的微创治疗进展最终 culminated 于 Acucise 肾盂内切开术。顺行肾盂内切开术、腹腔镜肾盂成形术和输尿管镜肾盂内切开术均为开放性肾盂成形术提供了出色的微创替代方案，但在治疗梗阻性 UPJ 方面，它们仍比 Acucise 肾盂内切开术更具侵入性。

技术考量

对于合适的患者，Acucise 肾盂内切开术是治疗 UPJ 梗阻的一种直接、有效且安全的手术。在荧光镜引导下，最新版的 Acucise 使泌尿外科医生能够在一根导丝上完成逆行肾盂造影、放置 Acucise 导管、进行切开以及置入输尿管支架。以我的经验来看，这一最新技术改进进一步简化了泌尿外科医生的手术操作。