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双侧回肠代输尿管术治疗双侧难治性输尿管狭窄伴肾功能不全:1例报告并文献复习

Bilateral ureteral replacement using ileum in bilateral refractory ureteral stricture with renal insufficiency: a case report and review of literature.

作者信息

Park Jae Joon, Yun Sangchul, Kim Jae Heon

机构信息

Department of Urology, Soonchunhyang University Seoul Hospital, Soonchunhyang University Medical College, Seoul, Republic of Korea.

Department of Surgery, Soonchunhyang University Seoul Hospital, Soonchunhyang University Medical College, Seoul, Republic of Korea.

出版信息

Transl Androl Urol. 2020 Jun;9(3):1466-1474. doi: 10.21037/tau.2020.03.32.

DOI:10.21037/tau.2020.03.32
PMID:32676432
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7354296/
Abstract

Although several studies have reported the efficacy and safety of ileal ureter in refractory ureteral strictures, reports on its long-term outcomes are still insufficient. In this case report, we present an excellent long-term outcome over three years without complication of bilateral ureteral replacement with ileum using '7' shaped configuration in a woman after undergoing radical hysterectomy and radiation therapy who had renal insufficiency due to ureteral stricture. This study gave us a useful information about the feasibility and safety of bilateral ileal ureter in patients with ureteral strictures and renal insufficiency.

摘要

尽管多项研究报告了回肠代输尿管术治疗难治性输尿管狭窄的有效性和安全性,但关于其长期疗效的报道仍不充分。在本病例报告中,我们介绍了一名接受根治性子宫切除和放疗后因输尿管狭窄导致肾功能不全的女性患者,采用“7”形构型双侧回肠代输尿管术,术后三年长期疗效极佳且无并发症。本研究为输尿管狭窄和肾功能不全患者行双侧回肠代输尿管术的可行性和安全性提供了有用信息。

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1
Bilateral ureteral replacement using ileum in bilateral refractory ureteral stricture with renal insufficiency: a case report and review of literature.双侧回肠代输尿管术治疗双侧难治性输尿管狭窄伴肾功能不全:1例报告并文献复习
Transl Androl Urol. 2020 Jun;9(3):1466-1474. doi: 10.21037/tau.2020.03.32.
2
Bilateral long ureteral strictures were successfully replaced by ileum in inverse seven configuration: A case report.双侧长段输尿管狭窄成功采用回肠倒置“7”形替代:1例报告
Int J Surg Case Rep. 2024 Mar;116:109357. doi: 10.1016/j.ijscr.2024.109357. Epub 2024 Feb 9.
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Laparoscopic bilateral ileal ureter replacement for bilateral long-segment ureteral strictures: a case series of nine patients.腹腔镜双侧回肠代输尿管术治疗双侧长段输尿管狭窄:9例病例系列
Transl Androl Urol. 2023 May 31;12(5):770-778. doi: 10.21037/tau-22-737. Epub 2023 May 8.
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Bilateral ileal ureter substitution for patients with ureteral strictures secondary to gynecological tumors radiotherapy: a multi-center retrospective study.双侧回肠代输尿管术治疗妇科肿瘤放疗后输尿管狭窄患者:一项多中心回顾性研究
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Totally intracorporeal replacement of the ureter using whole-mount ileum.使用全层回肠进行输尿管完全体内置换。
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BMC Surg. 2024 Mar 13;24(1):88. doi: 10.1186/s12893-024-02363-w.
2
Bilateral long ureteral strictures were successfully replaced by ileum in inverse seven configuration: A case report.双侧长段输尿管狭窄成功采用回肠倒置“7”形替代:1例报告
Int J Surg Case Rep. 2024 Mar;116:109357. doi: 10.1016/j.ijscr.2024.109357. Epub 2024 Feb 9.
3
Advancements in minimally invasive bilateral ileal ureter replacement: a promising approach for complex long-segment ureteric strictures.

本文引用的文献

1
Use of ileum for complex ureteric reconstruction: Assessment of long-term outcome, complications, and impact on renal function.回肠在复杂输尿管重建中的应用:长期疗效、并发症及对肾功能影响的评估
Urol Ann. 2018 Oct-Dec;10(4):369-374. doi: 10.4103/UA.UA_5_18.
2
Anatomy of the mesentery: Current understanding and mechanisms of attachment.肠系膜解剖:现有认识和附着机制。
Semin Cell Dev Biol. 2019 Aug;92:12-17. doi: 10.1016/j.semcdb.2018.10.004. Epub 2018 Oct 15.
3
Use of the Ileum for Ureteral Stricture and Obstruction in Bilateral, Unilateral, and Single-kidney Cases.
微创双侧回肠代输尿管术的进展:一种治疗复杂性长段输尿管狭窄的有前景的方法。
Transl Androl Urol. 2023 Aug 31;12(8):1215-1218. doi: 10.21037/tau-23-284. Epub 2023 Jul 17.
回肠在双侧、单侧及单肾病例中用于输尿管狭窄和梗阻的治疗。
Urology. 2018 Jan;111:203-207. doi: 10.1016/j.urology.2017.08.008. Epub 2017 Aug 14.
4
Long-term complications arising from bowel interposition in the urinary tract.肠代膀胱术后发生的长期并发症。
Int J Surg. 2017 Aug;44:278-280. doi: 10.1016/j.ijsu.2017.07.030. Epub 2017 Jul 6.
5
Ureteral reconstruction with bowel segments: experience with eight patients in a single institute.采用肠段进行输尿管重建:单机构8例患者的经验
Korean J Urol. 2014 Nov;55(11):742-9. doi: 10.4111/kju.2014.55.11.742. Epub 2014 Nov 10.
6
Use of ileum as ureteral replacement in urological reconstruction.在泌尿外科重建中使用回肠作为输尿管替代物。
J Urol. 2009 Jan;181(1):177-81. doi: 10.1016/j.juro.2008.09.019. Epub 2008 Nov 14.
7
The use of bowel for ureteral replacement for complex ureteral reconstruction: long-term results.使用肠道进行输尿管替代以进行复杂输尿管重建:长期结果
J Urol. 2006 Jan;175(1):179-83; discussion 183-4. doi: 10.1016/S0022-5347(05)00061-3.
8
Long-term results of ileum interposition for ureteral obstruction.回肠代输尿管术治疗输尿管梗阻的长期疗效
Eur Urol. 2002 Aug;42(2):181-7. doi: 10.1016/s0302-2838(02)00266-x.
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Long-term assessment of serum vitamin B(12) concentrations in patients with various types of orthotopic intestinal neobladder.
Urology. 2000 Aug 1;56(2):236-40. doi: 10.1016/s0090-4295(00)00638-5.