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机器人辅助腹腔镜膀胱外输尿管膀胱再植术治疗成人输尿管重复畸形伴上极前列腺尿道插入

Robotic-assisted laparoscopic extravesical ureteroneocystostomy for management of adult ureteral duplication with upper pole prostatic urethral insertion.

作者信息

Larson Jeffrey A, Tomaszewski Jeffrey J, Smaldone Marc C, Jackman Stephen V

机构信息

Department of Urology, University of Pittsburgh School of Medicine, Pennsylvania 15213, USA.

出版信息

JSLS. 2009 Jul-Sep;13(3):458-61.

PMID:19793496
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3015980/
Abstract

A 55-year-old male presented with progressive lower urinary tract symptoms and renal colic. The workup revealed a complete left ureteral duplication with a hydronephrotic upper pole moiety inserting into the prostatic urethra. Using a 5-port transperitoneal robotic-assisted laparoscopic technique, an extravesical upper pole ureteroneocystostomy was performed. Clinical follow-up and repeat imaging documented symptomatic and radiographic improvement. Robotic-assisted laparoscopic reconstructive techniques are feasible and efficacious in the management of adult ureteral anomalies.

摘要

一名55岁男性出现进行性下尿路症状和肾绞痛。检查发现左侧输尿管完全重复畸形，上极肾积水部分插入前列腺尿道。采用五孔经腹机器人辅助腹腔镜技术，实施了膀胱外上极输尿管膀胱吻合术。临床随访和重复影像学检查显示症状和影像学均有改善。机器人辅助腹腔镜重建技术在成人输尿管畸形的治疗中是可行且有效的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d2c/3015980/48995d36161a/jsls-13-3-458-g04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d2c/3015980/2d733beae61a/jsls-13-3-458-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d2c/3015980/cb894436b360/jsls-13-3-458-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d2c/3015980/1208f6e04f42/jsls-13-3-458-g03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d2c/3015980/48995d36161a/jsls-13-3-458-g04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d2c/3015980/2d733beae61a/jsls-13-3-458-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d2c/3015980/cb894436b360/jsls-13-3-458-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d2c/3015980/1208f6e04f42/jsls-13-3-458-g03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d2c/3015980/48995d36161a/jsls-13-3-458-g04.jpg

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本文引用的文献

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Robotic-assisted laparoscopic ureteral reimplantation with psoas hitch: a multi-institutional, multinational evaluation.带腰大肌固定的机器人辅助腹腔镜输尿管再植术：一项多机构、跨国评估。
Urology. 2008 Jul;72(1):47-50; discussion 50. doi: 10.1016/j.urology.2007.12.097. Epub 2008 Apr 2.
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Nerve sparing robotic extravesical ureteral reimplantation.保留神经的机器人膀胱外输尿管再植术
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Robotic reconstruction of the upper urinary tract.
上尿路的机器人重建
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Laparoscopic and robotic complex upper-tract reconstruction in children with a duplex collecting system.小儿重复集合系统的腹腔镜及机器人辅助复杂上尿路重建术
J Endourol. 2007 Jun;21(6):621-4. doi: 10.1089/end.2006.0227.
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Case report: laparoscopic ureteropyelostomy and distal ureterectomy for management of duplication with ectopia.
J Endourol. 2007 Jun;21(6):614-7. doi: 10.1089/end.2007.9947.
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Robotic-assisted laparoscopic ureteropyelostomy for treatment of prostatitis secondary to ectopic ureteral insertion of a completely duplicated collecting system.
J Endourol. 2007 May;21(5):455-7. doi: 10.1089/end.2006.0431.
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Robotic computer-assisted pyeloplasty versus conventional laparoscopic pyeloplasty.机器人辅助肾盂成形术与传统腹腔镜肾盂成形术的比较
J Endourol. 2006 Oct;20(10):813-9. doi: 10.1089/end.2006.20.813.
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Ureteral reimplantation for management of ureteral strictures: a retrospective comparison of laparoscopic and open techniques.输尿管再植术治疗输尿管狭窄：腹腔镜与开放手术技术的回顾性比较
Eur Urol. 2007 Feb;51(2):512-22; discussion 522-3. doi: 10.1016/j.eururo.2006.08.004. Epub 2006 Aug 17.
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