Pang Karl H, Miah Saiful, Haynes Mark D, Oakley Neil E
Academic Urology Unit, University of Sheffield, Sheffield, UK ; Department of Urology, Royal Hallamshire Hospital, Sheffield, UK.
Department of Urology, Royal Hallamshire Hospital, Sheffield, UK.
Case Rep Nephrol Dial. 2014 Nov 26;5(1):39-43. doi: 10.1159/000369786. eCollection 2015 Jan-Apr.
Ureteric strictures can be caused by traumatic pelvic surgery, urolithiasis and instrumentation. There are various treatment options for ureteric stricture, including laparoscopic ureteric reimplantation. A 56-year-old female with a history of chronic left pelviureteric junction obstruction presented with urosepsis secondary to right-sided urolithiasis. The patient had a left nephrectomy and developed right-sided ureteric stricture following repeated ureteroscopy to manage her stone disease. The treatment with ureteric stenting was unsuccessful. Here we present a case on the feasibility of laparoscopic reimplantation for ureteric stricture in a solitary kidney to preserve renal function and avoid further ureteroscopy or nephrostomies.
输尿管狭窄可由盆腔创伤性手术、尿路结石和器械操作引起。输尿管狭窄有多种治疗选择,包括腹腔镜输尿管再植术。一名56岁女性,有慢性左肾盂输尿管连接部梗阻病史,因右侧尿路结石继发尿脓毒症就诊。该患者曾行左肾切除术,在反复输尿管镜检查治疗结石病后出现右侧输尿管狭窄。输尿管支架置入治疗失败。在此,我们报告一例关于在孤立肾中行腹腔镜输尿管再植术治疗输尿管狭窄以保留肾功能并避免进一步输尿管镜检查或肾造瘘术的可行性病例。