Smith I B, Smith J C
Br J Urol. 1975 Oct;47(5):519-23. doi: 10.1111/j.1464-410x.1975.tb06251.x.
158 replies to a questionnaire suggest that many British surgeons remain wary of using trans-uretero-ureterostomy, fearing to risk the opposite ureter and kidney or preferring to use a Boari flap or other operation. 141 (27 personal and 114 reported) cases are surveyed. 56 simple Y-anastomoses performed by 27 surgeons gave very good results, with only 4 exceptions due to wrong indications or techniques. Complications were rare. No damage to any opposite ureter or kidney by the procedure was reported. 10 operations enabling a solitary kidney to drain via the opposite spare ureter were all successful. We recommended that during nephrectomy any spare healthy ureter should be preserved so that, if necessary, it can be used to drain the opposite kidney.
对一份调查问卷的158份回复表明，许多英国外科医生对采用输尿管-输尿管吻合术仍持谨慎态度，担心会危及对侧输尿管和肾脏，或者更倾向于使用鲍里皮瓣或其他手术方式。共调查了141例病例（27例为个人病例报告，114例为文献报道）。27位外科医生实施的56例单纯Y形吻合术效果非常好，仅有4例因适应证或技术错误而出现例外情况。并发症很少见。未报告该手术对任何对侧输尿管或肾脏造成损伤。10例使孤立肾通过对侧备用输尿管引流的手术均获成功。我们建议，在肾切除术期间，应保留任何备用的健康输尿管，以便在必要时用于引流对侧肾脏。
