[肠道输尿管成形术的技术特点。第4部分：采用重新配置回肠段的YANG-MONTI输尿管重建术]

[Technical features of intestinal ureteroplasty. Part 4: YANG-MONTI ureteric reconstruction with reconfigured ileal segment].

作者信息

Komyakov B K, Guliev B G, Ochelenko V A, Al-Attar T Kh, Mkhanna Kh M

机构信息

Department of Urology, I.I. Mechnikov North-Western State Medical University.

Multidisciplinary City Hospital 2, Department of Urology.

出版信息

Urologiia. 2016 Nov(5):21-26.

PMID:28248015

Abstract

AIM

To present the results of ureteroplasty and technical features of ureteric replacement using the Yang-Monti procedure.

MATERIAL AND METHODS

From 2001 to 2016, 105 patients underwent intestinal appendiceal ureteroplasty. In 5 (4.8%) cases, ureteric replacement using the Yang-Monti procedure was performed. Among them, 2 and 3 patients had left and right ureter replacement, respectively.

RESULTS

Postoperative complications occurred in 2 of the 5 operated patients, and one of them required re-surgery. Repeat operations were successful; there were no deaths.

CONCLUSIONS

The advantages of ureteric replacement using the Yang-Monti procedure include the ability to replace any ureteral defects 5-6 cm in length by using one ileal segment. However, this may result in an ileal segment with insufficient blood supply and partially lost contractility included in the urinary tract. For this reason, for more than a decade, this operation has not been widely adopted, and Yang-Monti procedure needs to be further assessed in larger comparative studies with longer follow-up.

摘要