Cavaleri Yuri, Farullo Giuseppe, Nappo Simona Gerocarni, Caione Paolo
Department of Surgery, Urology UOSD, University of Rome Tor Vergata, Roma, Lazio, Italy.
Department of Nephrology and Urology, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.
European J Pediatr Surg Rep. 2020 Jan;8(1):e32-e34. doi: 10.1055/s-0040-1705156. Epub 2020 Apr 23.
Retrocaval ureter (RCU) or circumcaval ureter is a rare cause of congenital hydronephrosis. The surgical correction of RCU should be performed in all patients with obstruction and hydronephrosis symptoms, lumbar pain, urinary tract infections, hematuria, or urolithiasis. Traditionally, an open surgical approach was used for the treatment of RCU. Nowadays, surgical correction of these anomalies is performed using minimally invasive techniques. We report on two cases treated with our standardized laparoscopic technique using only three 5-mm trocars. The proposed approach could be considered as the first-line treatment for RCU.
腔静脉后输尿管（RCU）或腔静脉周围输尿管是先天性肾积水的罕见病因。所有出现梗阻、肾积水症状、腰痛、尿路感染、血尿或尿路结石的患者均应进行RCU的手术矫正。传统上，开放手术方法用于治疗RCU。如今，这些异常情况的手术矫正采用微创技术进行。我们报告了两例采用仅三个5毫米套管针的标准化腹腔镜技术治疗的病例。所提出的方法可被视为RCU的一线治疗方法。
