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术后发现完全横断输尿管的逆行内镜处理

Retrograde Endoscopic Management of Completely Transected Ureter Discovered Postoperatively.

作者信息

Wang Dong, Wan Shaw P

机构信息

The People's Hospital of Huantai, Zibo City, Shandong, China.

Department of Urology, The First People's Hospital of Xiaoshan District, Hangzhou, Zhejiang, China.

出版信息

J Endourol Case Rep. 2018 Jun 1;4(1):84-86. doi: 10.1089/cren.2018.0029. eCollection 2018.

Abstract

Inadvertent injury of the ureter is a known risk of pelvic surgery. If the injury is noticed intraoperatively, the treatment is relatively straightforward. However, if the discovery of the injury is delayed, the treatment is more difficult and less assured. We encountered a case of a completely transected ureter that had occurred during laparoscopic sigmoid colectomy and was diagnosed on the 8th postoperative day. The patient was treated with minimally invasive retrograde endoscopic realignment with excellent results. Therefore, we decided to report this case and perform a literature review on this subject.

摘要

输尿管的意外损伤是盆腔手术已知的风险。如果术中发现损伤,治疗相对简单直接。然而,如果损伤的发现被延迟,治疗则更加困难且效果难以保证。我们遇到一例在腹腔镜乙状结肠切除术中发生的输尿管完全横断病例,于术后第8天确诊。该患者接受了微创逆行内镜复位治疗,效果良好。因此,我们决定报告此病例并对该主题进行文献综述。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f987/6014577/541cf2d7ef8b/fig-1.jpg

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