Komyakov B K, Guliev B G, Ochelenko V A, Al-Attar T Kh, Mkhanna Kh M
Department of Urology, I.I. Mechnikov North-Western State Medical University.
Multidisciplinary City Hospital 2, Department of Urology.
Urologiia. 2016 Nov(5):21-26.
To present the results of ureteroplasty and technical features of ureteric replacement using the Yang-Monti procedure.
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.
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.
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.
介绍输尿管成形术的结果以及使用杨-蒙蒂手术进行输尿管替代的技术特点。
2001年至2016年，105例患者接受了肠段阑尾输尿管成形术。其中5例（4.8%）采用杨-蒙蒂手术进行输尿管替代。其中，分别有2例和3例患者进行了左侧和右侧输尿管替代。
5例手术患者中有2例出现术后并发症，其中1例需要再次手术。再次手术成功；无死亡病例。
使用杨-蒙蒂手术进行输尿管替代的优点包括能够用一段回肠替代长度为5 - 6厘米的任何输尿管缺损。然而，这可能导致尿路中包含的回肠段血供不足且部分失去收缩力。因此，十多年来，该手术未被广泛采用，杨-蒙蒂手术需要在更长随访期的更大规模比较研究中进一步评估。
