Yarlagadda Vidhush K, Nix Jeffrey W, Benson Daniel G, Selph J Patrick
Department of Urology, University of Alabama at Birmingham, Birmingham, AL.
Department of Urology, University of Alabama at Birmingham, Birmingham, AL.
Urology. 2017 Nov;109:201-205. doi: 10.1016/j.urology.2017.08.017. Epub 2017 Aug 23.
To describe a robotic-assisted laparoscopic (RAL) technique for using the appendix to repair ureteral stricture disease MATERIALS AND METHODS: A case of a patient presenting with a 5-cm obliterative right ureteral stricture was reviewed, and surgical technique, complications, and outcomes were reported.
Our patient developed a right-sided 5-cm obliterative ureteral stricture secondary to recurrent stone disease and pyelonephritis. He underwent an uncomplicated RAL repair of his stricture with interposition of the appendix between the 2 segments of ureter. Operative time was just over 6 hours, blood loss was minimal, and there were no complications. A 10-month follow-up showed resolution of hydronephrosis with no flank pain.
We report our initial experience with this procedure and believe that RAL appendiceal interposition for ureteral stricture disease presents an excellent option for reconstruction.
描述一种使用阑尾修复输尿管狭窄疾病的机器人辅助腹腔镜（RAL）技术。材料与方法：回顾了一例出现5厘米右侧闭塞性输尿管狭窄的患者病例，并报告了手术技术、并发症及结果。
我们的患者因复发性结石病和肾盂肾炎继发右侧5厘米闭塞性输尿管狭窄。他接受了无并发症的RAL狭窄修复术，在输尿管的两段之间置入了阑尾。手术时间刚超过6小时，失血极少，且无并发症。10个月的随访显示肾积水消退，无胁腹疼痛。
我们报告了我们在此手术中的初步经验，并认为RAL阑尾置入术治疗输尿管狭窄疾病是一种极佳的重建选择。
