同期双侧皮下肾盂膀胱转流术作为难治性腹膜后纤维化的挽救性手术
Simultaneous bilateral subcutaneous pyelovesical bypass as a salvage procedure in refractory retroperitoneal fibrosis.
作者信息
Haddad Nicholas, Andonian Sero, Anidjar Maurice
机构信息
Division of Urology, Department of Surgery, McGill University Health Centre, McGill University, Montreal, QC.
出版信息
Can Urol Assoc J. 2013 May-Jun;7(5-6):E417-20. doi: 10.5489/cuaj.1395.
Abstract
Ureteral obstruction causing renal failure is the most common complication associated with retroperitoneal fibrosis (RPF). Initial management includes steroid therapy together with ureteral stenting. When these fail, ureterolysis is the recommended surgical procedure. However, this could be challenging and recurrence is common. The aim of the present case series was to assess the feasibility of inserting simultaneous bilateral subcutaneous pyelovesical bypass grafts (SPBGs) in patients presenting with RPF who had failed initial endourologic/surgical management.
摘要
输尿管梗阻导致肾衰竭是腹膜后纤维化（RPF）最常见的并发症。初始治疗包括类固醇治疗及输尿管支架置入。当这些治疗失败时，推荐的外科手术是输尿管松解术。然而，这可能具有挑战性且复发很常见。本病例系列的目的是评估在初始腔内泌尿外科/外科治疗失败的RPF患者中同时置入双侧皮下肾盂膀胱旁路移植物（SPBG）的可行性。
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