Department of General Surgery, Health Sciences University, Gülhane Faculty of Medicine, Ankara-Turkey.
Department of General Surgery, TOBB ETÜ Faculty of Medicine Hospital, Ankara-Turkey.
Ulus Travma Acil Cerrahi Derg. 2021 Mar;27(2):260-264. doi: 10.14744/tjtes.2020.80606.
Hardy and colleagues carried out 'Renal autotransplantation' for the first time in 1963 to treat severe ureter injury and it has evolved as a method used for complex treatment of trauma, renal artery diseases or ureteral stenosis. In case of proximal ureter injury, approximately 2/3 of which is iatrogenic, if the end-to-end anastomosis is not possible, renal autotransplantation, ileal ureter interposition or nephrectomy are alternative treatments. As technology advances, the use of ureterorenoscopy (URS) increases and in parallel with this iatrogenic injuries that occur during the process have increased as well. These types of injuries are generally in form of simple perforations (2-6%), but from time to time ureter avulsions are also observed (0.3%). In this article, a case is presented where renal autotransplantation is made following development of ureter avulsion during ureterorenoscopy process carried out due to right ureteral calculi and treatment options are discussed in the light of literatures.
哈迪等人于 1963 年首次进行“肾自体移植”,以治疗严重输尿管损伤,随着技术的发展,该技术已发展成为治疗创伤、肾动脉疾病或输尿管狭窄等复杂病症的方法。在近端输尿管损伤的情况下,大约 2/3 是医源性的,如果无法进行端端吻合,肾自体移植、回肠输尿管间置或肾切除术是替代治疗方法。由于输尿管镜检查 (URS) 的使用增加,在这个过程中发生的医源性损伤也随之增加。这些类型的损伤通常为单纯穿孔(2-6%),但有时也会发生输尿管撕脱(0.3%)。本文介绍了一例因右侧输尿管结石行输尿管镜检查过程中发生输尿管撕脱后行肾自体移植的病例,并结合文献讨论了治疗选择。