Thevendran G, Al-Akraa M A, Sweny P, Fernando O N
Department of Renal Transplant Surgery, Royal Free Hospital, London, UK.
Surgeon. 2004 Jun;2(3):176-8. doi: 10.1016/s1479-666x(04)80083-0.
Stenosis and necrosis of the ureter are amongst the severe complications after renal transplantation. Several surgical techniques like simple nephrostomy or native pyeloureterostomy using the native ureter have been applied for repair. We report a case of modification to the conventional pyeloureterostomy where the native ureter was anastomosed to the transplant calyx to restore continuity of the urine collecting system. This technique is recommended as a feasible alternative when secondary reconstruction by native pyeloureterostomy is not possible.
输尿管狭窄和坏死是肾移植术后的严重并发症。已应用多种外科技术进行修复,如单纯肾造瘘术或使用自体输尿管的自体肾盂输尿管吻合术。我们报告了一例对传统肾盂输尿管吻合术进行改良的病例,即将自体输尿管与移植肾盏吻合以恢复尿液收集系统的连续性。当无法通过自体肾盂输尿管吻合术进行二期重建时,推荐该技术作为一种可行的替代方法。