Tencer T, Ross L
J Urol. 1975 Jun;113(6):856-9. doi: 10.1016/s0022-5347(17)59599-3.
We present herein what we believe to be the first reported case of a traumatic veno-caliceal fistula and describe our technique for surgical repair. We use a transabdominal approach for renal trauma and advocate occlusion of the renal artery alone during intrarenal surgery. We believe that conservative management of renal injuries, even with a solitary kidney, yields the highest salvage rate. Initial arteriography best delineates most renal injuries and is a safe technique for following progressive changes that may require an operation. When injury occurs in a solitary kidney medical renal consultation and facilities for interim dialysis must be readily available.
我们在此呈现我们认为是首例报道的创伤性肾盂静脉瘘病例，并描述我们的手术修复技术。我们采用经腹途径处理肾外伤，主张在肾内手术期间仅阻断肾动脉。我们认为，即使是单肾肾损伤，保守治疗也能获得最高的挽救率。初始血管造影最能清晰显示大多数肾损伤情况，并且是跟踪可能需要手术的病情进展变化的一种安全技术。当单肾发生损伤时，必须随时能够获得肾脏内科会诊及临时透析设备。
