腹腔镜输尿管膀胱吻合术治疗输尿管远端损伤。
Laparoscopic ureteroneocystostomy for distal ureteral injuries.
作者信息
Modi Pranjal, Goel Rajiv, Dodiya Sharad
机构信息
Department of Urology, Institute of Kidney Diseases and Research Center, Ahmedabad, Gujarat, India.
出版信息
Urology. 2005 Oct;66(4):751-3. doi: 10.1016/j.urology.2005.04.048.
OBJECTIVES
To present our initial experience with laparoscopic ureteroneocystostomy in patients with traumatic disruption of the distal ureter owing to gynecologic procedures. Reconstructive laparoscopic procedures are still evolving.
METHODS
Six patients with ureterovaginal fistula in whom endoscopic management had failed underwent laparoscopic ureteroneocystostomy with a psoas hitch between July 2003 and December 2004.
RESULTS
All procedures were completed successfully. No intraoperative or postoperative complications were noted. Postoperative intravenous urography did not reveal any evidence of obstruction. No reflux was seen in 5 of the 6 patients during micturating cystography.
CONCLUSIONS
Laparoscopic ureteroneocystostomy is a safe and feasible minimally invasive option for patients with gynecologic distal ureteral injury.
目的
介绍我们对因妇科手术导致远端输尿管创伤性断裂患者行腹腔镜输尿管膀胱吻合术的初步经验。重建性腹腔镜手术仍在不断发展。
方法
2003年7月至2004年12月，6例内镜治疗失败的输尿管阴道瘘患者接受了带腰大肌固定的腹腔镜输尿管膀胱吻合术。
结果
所有手术均成功完成。未发现术中或术后并发症。术后静脉尿路造影未显示任何梗阻迹象。6例患者中有5例在排尿膀胱造影时未见反流。
结论
对于妇科远端输尿管损伤患者，腹腔镜输尿管膀胱吻合术是一种安全可行的微创选择。
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