机器人辅助腹腔镜下小儿患者移植肾原位输尿管-输尿管吻合术。
Robotic-assisted laparoscopic transplant-to-native ureteroureterostomy in a pediatric patient.
机构信息
Ann and Robert H. Lurie Children's Hospital of Chicago, Department of Urology, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
Ann and Robert H. Lurie Children's Hospital of Chicago, Department of Urology, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
出版信息
J Pediatr Urol. 2014 Dec;10(6):1284.e1-2. doi: 10.1016/j.jpurol.2014.07.011. Epub 2014 Sep 23.
OBJECTIVE
Management of late-occurring or long (>3 cm) post-transplant ureteral strictures usually requires open surgery, which includes ureteroureterostomy (UU) as an option. Recently, robotic-assisted laparoscopic UU for ectopic ureters in a duplicated system has been described. We report a case of a robotic-assisted laparoscopic transplant-to-native side-to-side UU in a 14-year-old girl with a stricture of nearly two-thirds of her transplant ureter 5 years after a cadaveric renal transplant.
RESULTS
Robotic-assisted laparoscopic native-to-transplant UU was performed with resultant durable improvement in the patient's hydronephrosis and kidney function.
CONCLUSION
Based on our case and review of the literature, robotic-assisted laparoscopic UU should be part of the armamentarium for long or late-occurring transplant ureteral strictures.
目的
对于迟发性或长（>3 厘米）移植后输尿管狭窄的处理，通常需要开放性手术，其中包括输尿管-输尿管吻合术（UU）作为一种选择。最近，机器人辅助腹腔镜 UU 已被用于治疗重复系统中的异位输尿管。我们报告了一例 14 岁女孩的病例，她在尸体肾移植 5 年后，移植输尿管近三分之二处发生狭窄，行机器人辅助腹腔镜移植到自体侧侧 UU。
结果
行机器人辅助腹腔镜自体-移植 UU，患者的肾积水和肾功能得到持久改善。
结论
基于我们的病例和文献复习，机器人辅助腹腔镜 UU 应该是治疗长或迟发性移植后输尿管狭窄的手段之一。
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