Mufarrij Patrick W, Stifelman Michael D
Rev Urol. 2006 Fall;8(4):226-30.
Retroperitoneal fibrosis (RPF) is a rare disorder of unclear etiology characterized by chronic inflammation of the retroperitoneum, which can involve any of the retroperitoneal structures, most notably the ureters, aorta, and vena cava. Historically, open biopsy, ureterolysis, and transpositioning or omental wrapping of the involved ureter(s) have been the preferred surgical treatments of RPF, with success rates greater than 90%. More recently, successful laparoscopic biopsy, ureterolysis, and ureteral omental wrapping and intraperi-tonealization have been described. We report the first case in the literature of idiopathic RPF managed with robotic ureterolysis and laparoscopic omental ureteral wrapping.
腹膜后纤维化（RPF）是一种病因不明的罕见疾病，其特征为腹膜后慢性炎症，可累及任何腹膜后结构，最常见的是输尿管、主动脉和腔静脉。从历史上看，开放活检、输尿管松解术以及受累输尿管的移位或大网膜包裹一直是RPF的首选手术治疗方法，成功率超过90%。最近，已有成功进行腹腔镜活检、输尿管松解术、输尿管大网膜包裹及腹膜内植入的报道。我们报告了文献中首例采用机器人输尿管松解术和腹腔镜大网膜输尿管包裹术治疗的特发性RPF病例。
