机器人辅助根治性前列腺切除术后异位输尿管损伤的术后管理：一例报告
Postoperative Management of Ectopic Ureter Injury After Robotic-assisted Radical Prostatectomy: A Case Report.
作者信息
Petrella Francis, Anidjar Maurice
机构信息
Department of Urology, McGill University, Montreal, Quebec, Canada.
Department of Urology, McGill University, Montreal, Quebec, Canada.
出版信息
Urology. 2020 Sep;143:e20-e23. doi: 10.1016/j.urology.2020.05.033. Epub 2020 Jun 3.
A 66-year-old male, with an undiagnosed duplex system, underwent a Robotic-assisted Radical Prostatectomy that was complicated by an ectopic ureter injury. Given the incidence of less than 0.001%, management of ectopic ureters for patients undergoing a RARP is foreign to most urologists. The delayed presentation lead us to opt for selective angioembolisation of the hydronephrotic segment. Symptoms completely resolved and a follow up scan showed resolution of the hydronephrosis as well as hypovascularized parenchyma of the upper moiety. A literature review was done along with this example of non-surgical management of a rare RARP complication.
一名66岁男性，其双肾盂系统未被诊断出来，接受了机器人辅助根治性前列腺切除术，术后出现了异位输尿管损伤的并发症。鉴于发病率低于0.001%，大多数泌尿外科医生对接受机器人辅助根治性前列腺切除术患者的异位输尿管处理并不熟悉。延迟出现的症状使我们选择对肾积水段进行选择性血管栓塞术。症状完全缓解，后续扫描显示肾积水以及上半部分肾实质血管减少的情况均已消退。结合这例罕见的机器人辅助根治性前列腺切除术并发症的非手术治疗实例进行了文献综述。
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