Liaw Christine W, Bamberger Jacob, Gupta Kasmira, Gupta Mantu
Department of Urology, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
J Endourol Case Rep. 2020 Sep 17;6(3):163-165. doi: 10.1089/cren.2019.0173. eCollection 2020.
There are many nonmalignant complications after urinary reconstruction. Anastomotic strictures and redundancy of an ileal chimney are such. A patient with both issues might necessitate an open surgical approach; yet endoscopic techniques are more attractive for these older frail patients. A 61-year-old woman with a history of bladder cancer who underwent radical cystectomy and neobladder creation now develops left hydronephrosis and a redundant ileal chimney with severe metabolic acidosis. She underwent endoscopic creation of a neochimneycystotomy. The refinement of endoscopic techniques moves the field of surgery away from open surgery, which is beneficial for patients. This endoscopic technique treated the anastomotic stricture as well as redundant ileal chimney in a novel way that has not been reported previously in the literature.
尿路重建术后有许多非恶性并发症。吻合口狭窄和回肠烟囱样冗长就是这类情况。同时存在这两个问题的患者可能需要开放手术治疗；然而，对于这些年老体弱的患者来说，内镜技术更具吸引力。一名61岁有膀胱癌病史的女性，曾接受根治性膀胱切除术和新膀胱造瘘术，现出现左肾积水和回肠烟囱样冗长伴严重代谢性酸中毒。她接受了内镜下新烟囱膀胱造口术。内镜技术的改进使手术领域从开放手术转向内镜手术，这对患者有益。这种内镜技术以一种新颖的方式治疗了吻合口狭窄和回肠烟囱样冗长，此前文献中尚未有过报道。
