Kranz Jennifer, Steffens Joachim
St-Antonius-Hospital gGmbH, Klinik für Urologie und Kinderurologie, Eschweiler.
Universitätsklinik und Poliklinik für Urologie, Universitätsklinikum Halle (Saale).
Aktuelle Urol. 2020 Apr;51(2):171-173. doi: 10.1055/a-0965-9038. Epub 2019 Aug 21.
All surgical techniques in antireflux surgery are characterised by a high success rate of over 90 %. The common goal of all procedures is the formation of a submucosal tunnel which is four times longer than the diameter of the ureter. Successful treatment has been achieved worldwide with the extravesical antireflux technique according to Lich-Gregoir in non-dilated ureters and psoas hitch ureterocystoneostomy in dilated ureters. Intravesical surgical procedures include the Politano-Leadbetter technique and Cohen's cross-trigonal reimplantation. These open or laparoscopic/robotic standard procedures have higher rates of success than endoscopic subureteric injection.
所有抗反流手术的外科技术成功率都很高，超过90%。所有手术的共同目标是形成一条比输尿管直径长四倍的黏膜下隧道。根据利希-格雷戈尔方法的膀胱外抗反流技术已在全球范围内成功用于治疗非扩张输尿管，而腰大肌悬吊输尿管膀胱吻合术则用于治疗扩张输尿管。膀胱内手术包括波利塔诺-利德贝特技术和科恩跨三角区再植术。这些开放手术或腹腔镜/机器人标准手术的成功率高于内镜下输尿管下注射。
