Ganpule Arvind P, Singh Abhishek G, Islam Mohammed Rafiqul, Sonawane Parag, Sabnis Ravindra B, Desai Mahesh R
Departments of Urology, Muljibhai Patel Urological Hospital, Nadiad, Gujarat, India.
J Minim Access Surg. 2018 Oct-Dec;14(4):357-361. doi: 10.4103/jmas.JMAS_188_17.
Ureteral stricture resulting from chronic inflammations such as tuberculosis, recurrent stone disease and multiple endourological interventions are complex in nature; these may lead to severe adhesions to surrounding structures. Endourological management of these cases is difficult with poorer outcomes. In such situations, reconstructive surgical corrections remain a reliable option. We describe the technique of onlay and inlay buccal mucosal graft ureteroplasty using a robotic platform in management of complex ureteral strictures.
由慢性炎症如结核病、复发性结石病和多次腔内泌尿外科手术引起的输尿管狭窄本质上较为复杂;这些情况可能导致与周围结构严重粘连。对这些病例进行腔内泌尿外科治疗困难且效果较差。在这种情况下,重建性手术矫正仍是一种可靠的选择。我们描述了在复杂输尿管狭窄的治疗中使用机器人平台进行覆盖和嵌入颊黏膜移植输尿管成形术的技术。