Rayn Kareem N, Ritchie Cayde, Folio Les R, Stamatakis Lambros, Verghese Mohan M, Agarwal Piyush K
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.
Urology. 2018 Aug;118:e3-e4. doi: 10.1016/j.urology.2018.04.022. Epub 2018 May 2.
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.
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。
