双侧输尿管肠吻合口狭窄：一例“反向7”病例
Bilateral Ureteroenteric Strictures: A Case of the "Reverse 7".
作者信息
Rayn Kareem N, Ritchie Cayde, Folio Les R, Stamatakis Lambros, Verghese Mohan M, Agarwal Piyush K
机构信息
Urologic Oncology Branch, National Cancer Institute, National Institutes of Health, Bethesda, MD.
Radiology and Imaging Sciences, National Cancer Institute, National Institutes of Health, Bethesda, MD.
出版信息
Urology. 2018 Aug;118:e3-e4. doi: 10.1016/j.urology.2018.04.022. Epub 2018 May 2.
Abstract
Anastomotic stricture is a well-known complication of the urinary diversion that accompanies radical cystectomy. Management options range from endoscopic procedures to open surgeries, with a subset of the latter employing bowel as the interposing segment. In this report, we describe a rare patient, who successfully underwent a "Reverse 7" procedure, bypassing strictures at both anastomotic junctions between ureters and neobladder.
摘要
吻合口狭窄是根治性膀胱切除术后尿流改道的一种常见并发症。治疗方案从内镜手术到开放手术不等，后者中有一部分采用肠道作为插入段。在本报告中，我们描述了一位罕见的患者，他成功接受了“反向7”手术，绕过了输尿管与新膀胱之间两个吻合口处的狭窄。
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本文引用的文献
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Ureteroenteric anastomotic strictures after radical cystectomy-does operative approach matter?根治性膀胱切除术后输尿管-肠吻合口狭窄：手术入路是否重要？
J Urol. 2013 Feb;189(2):541-7. doi: 10.1016/j.juro.2012.09.034. Epub 2012 Dec 20.
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Experience with ureteroenteric strictures after radical cystectomy and diversion: open surgical revision.根治性膀胱切除术和转流术后输尿管-肠吻合口狭窄的经验：开放手术修正。
Urology. 2011 Aug;78(2):459-65. doi: 10.1016/j.urology.2011.01.040. Epub 2011 Apr 13.
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