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机器人辅助切除及输尿管输尿管吻合术治疗近端输尿管憩室的罕见病例

Rare Entity of Proximal Ureteral Diverticulum Managed by Robotic Resection and Ureteroureteral Anastomosis.

作者信息

Mehra Ketan, Sreerag Kodaikkattil Sreenivasan, Manikandan Ramanitharan, Dorairajan Lalgudi Narayanan, Kalra Sidhartha, Avinash Jagannath

机构信息

Department of Urology, JIPMER, Pondicherry, India.

出版信息

J Endourol Case Rep. 2020 Mar 11;6(1):39-41. doi: 10.1089/cren.2019.0104. eCollection 2020.

DOI:10.1089/cren.2019.0104
PMID:32775672
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7383360/
Abstract

Ureteral diverticulum (UD) is a rare condition. It can be congenital, acquired, or an abortive ureteral duplication. Majority can be managed conservatively. The symptomatic and complicated diverticulum entails an intervention. There have been reports of UD treated with open reconstructive surgery, nephrectomy, and laparoscopic surgeries. We present here a case of UD that presented with loin pain and decreased renal function and underwent robot-assisted laparoscopic diverticulectomy and ureteroureteral anastomosis. UD is a rare condition with only 47 cases reported in the literature. Management depends on symptoms and complications. Our case is the first in the literature to be managed robotically.

摘要

输尿管憩室(UD)是一种罕见的病症。它可以是先天性的、后天获得性的,或者是未完全发育的输尿管重复畸形。大多数情况下可采用保守治疗。有症状的和复杂的憩室需要进行干预。已有关于采用开放重建手术、肾切除术和腹腔镜手术治疗输尿管憩室的报道。我们在此呈现一例因腰痛和肾功能减退就诊的输尿管憩室病例,该病例接受了机器人辅助腹腔镜憩室切除术和输尿管输尿管吻合术。输尿管憩室是一种罕见病症,文献中仅报道了47例。治疗方法取决于症状和并发症。我们的病例是文献中首例采用机器人手术治疗的病例。

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本文引用的文献

1
Ureteral diverticulum: a review of the current literature.输尿管憩室:当前文献综述
Can J Urol. 2013 Oct;20(5):6893-6.
2
URETERAL DIVERTICULA.输尿管憩室
Cal State J Med. 1921 Jul;19(7):284-7.
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Ureteral pseudodiverticulosis: the case for the retrograde urogram.输尿管假性憩室病:逆行尿路造影的应用实例
Urology. 1996 Jun;47(6):924-7. doi: 10.1016/S0090-4295(96)00055-6.
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Transitional cell carcinoma in a congenital ureteral diverticulum.先天性输尿管憩室内的移行细胞癌。
J Urol. 1983 Jun;129(6):1231-2. doi: 10.1016/s0022-5347(17)52658-0.
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Ureteral diverticulum.输尿管憩室
J Urol. 1975 Jul;114(1):33-5. doi: 10.1016/s0022-5347(17)66936-2.