Modi Pranjal, Goel Rajiv, Dodia Sharad, Devra Amit
Department of Urology, Institute of Kidney Diseases and Research Centre, Ahmedabad, Gujarat, India.
J Endourol. 2006 Sep;20(9):642-5. doi: 10.1089/end.2006.20.642.
A Boari flap may be required to bridge long defects of the middle and lower ureter to the bladder. Laparoscopic construction of a Boari flap was performed in a patient with a ureteral stricture secondary to iatrogenic injury. The salient steps performed were spatulation of the transected ureteral end, fashioning of a Boari flap from the bladder, end-to-side anastomosis of the ureter to the flap, placement of a stent with the aid of a suction cannula, and closure of the flap over the stent. A Boari flap can be accomplished laparoscopically with minimal morbidity.
对于输尿管中下段至膀胱的长段缺损，可能需要行鲍里皮瓣术来进行桥接。对一名因医源性损伤继发输尿管狭窄的患者实施了腹腔镜下鲍里皮瓣构建术。实施的主要步骤包括横断输尿管末端的斜切、从膀胱制作鲍里皮瓣、输尿管与皮瓣的端侧吻合、借助吸引套管放置支架以及皮瓣覆盖支架的缝合。腹腔镜下可完成鲍里皮瓣术，且并发症极少。
