妇科腹腔镜手术中处理远端输尿管损伤的腹腔镜输尿管-输尿管吻合术。
Laparoscopic ureteroureteral anastomosis for distal ureteral injuries during gynecologic laparoscopic surgery.
机构信息
Department of Obstetrics and Gynecology, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea.
出版信息
J Minim Invasive Gynecol. 2010 Jul-Aug;17(4):468-72. doi: 10.1016/j.jmig.2010.03.002. Epub 2010 May 23.
STUDY OBJECTIVE
To estimate the feasibility and surgical outcomes of laparoscopic ureteroureteral for treatment of distal ureteral injuries.
DESIGN
Retrospective clinical study (Canadian Task Force classification II-2).
SETTING
University teaching hospital.
PATIENTS
Four women with ureteral transection or ureterovaginal fistula.
INTERVENTION
Laparoscopic ureteroureteral .
MEASUREMENTS AND MAIN RESULTS
Median age of patients was 44 (range, 33-63) years, and median operating time was 110 (range, 85-150) minutes. There were no conversions to laparotomy. No intraoperative or postoperative complications occurred. Follow-up ranged from 20 to 46 months. All patients have been asymptomatic, and follow-up intravenous pyelograms and ultrasound examinations have been normal.
CONCLUSION
Laparoscopic ureteroureteral anastomosis is an alternative surgical option in women with distal ureteral injuries during gynecologic laparoscopic surgery.
研究目的
评估腹腔镜下输尿管-输尿管吻合术治疗远端输尿管损伤的可行性和手术效果。
设计
回顾性临床研究（加拿大治疗组分类 II-2）。
地点
大学教学医院。
患者
4 名女性，均为输尿管横断或输尿管阴道瘘。
干预
腹腔镜下输尿管-输尿管吻合术。
测量和主要结果
患者的中位年龄为 44 岁（范围，33-63 岁），中位手术时间为 110 分钟（范围，85-150 分钟）。无中转开腹。无术中或术后并发症发生。随访时间为 20 至 46 个月。所有患者均无症状，随访静脉肾盂造影和超声检查均正常。
结论
腹腔镜下输尿管-输尿管吻合术是妇科腹腔镜手术中治疗远端输尿管损伤的一种替代手术选择。
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