机器人辅助腹腔镜修复自发性阑尾膀胱瘘
Robot-Assisted Laparoscopic Repair of Spontaneous Appendicovesical Fistula.
作者信息
Kibar Yusuf, Yalcin Serdar, Kopru Burak, Kaya Engin, Topuz Bahadir, Ebiloglu Turgay
机构信息
Department of Urology, Gulhane Military Medical Academy , Ankara, Turkey .
Department of Urology, Agrı Military Hospital , Agrı, Turkey .
出版信息
J Endourol Case Rep. 2016 Jun 1;2(1):111-3. doi: 10.1089/cren.2016.0063. eCollection 2016.
BACKGROUND
To report the first case of the spontaneous appendicovesical fistulas' (AVF) repair with robot assisted laparoscopy.
CASE PRESENTATION
A 29-year-old male patient with urgent persistant bacteriuria and dysuria was referred to our clinic. Physical examination and blood tests were normal. He had used various antibiotics due to recurrent UTI for about 20 years. Computed tomography revealed the fistula tract between the distal end of the appendix and right lateral wall of the bladder dome. He was successfully treated with robot-assisted laparoscopic repair. Following this surgery, the patient's complaints were resolved completely.
CONCLUSION
AVF is the rare condition. Robot-assisted laparoscopy repair of AVF is safe and effective treatment option.
背景
报告首例机器人辅助腹腔镜修复自发性阑尾膀胱瘘（AVF）的病例。
病例介绍
一名29岁男性患者因持续性菌尿和排尿困难前来我院就诊。体格检查和血液检查均正常。由于复发性尿路感染，他使用各种抗生素约20年。计算机断层扫描显示阑尾远端与膀胱穹窿右侧壁之间存在瘘管。他通过机器人辅助腹腔镜修复术获得成功治疗。手术后，患者的症状完全消失。
结论
AVF是一种罕见疾病。机器人辅助腹腔镜修复AVF是一种安全有效的治疗选择。
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