Department of Urology, The Second Affiliated Hospital of Anhui Medical University, Hefei, China.
BMC Urol. 2021 Apr 19;21(1):65. doi: 10.1186/s12894-021-00835-2.
This study aimed to introduce a novel method for ureteroileal anastomosis, explore its clinical effectiveness, observe the incidence of postoperative anastomotic stricture, and compare the postoperative complications with those of other types of ureteroileal anastomosis reported in the literature.
Both ureters were first anastomosed at their distal ends and then inserted into the proximal end of the ileal loop. A postoperative follow-up analysis was performed to evaluate major complication indicators, including anastomotic stricture, anastomotic leak, and hydroureteronephrosis.
We successfully performed ureteral distal ends anastomosis combined with end-to-end insertion into the ileum for 143 patients. The mean postoperative follow-up lasted 37 months (range: 10-68 months). There was no occurrence of an anastomotic leak. The incidence of anastomotic stricture combined with hydronephrosis, ileal conduit stones, urinary tract infection, and renal dysfunction were 2.1%, 0.7%, 2.1%, and 4.2%, respectively.
Ureteral distal ends combined and inserted into the ileum were simple to perform and helped achieve precise anastomosis with fewer postoperative complications.
本研究旨在介绍一种新的输尿管-回肠吻合方法，探讨其临床效果，观察术后吻合口狭窄的发生率，并与文献中报道的其他类型输尿管-回肠吻合术的术后并发症进行比较。
首先将双侧输尿管远端进行吻合，然后将其插入回肠近端。术后随访分析主要并发症指标，包括吻合口狭窄、吻合口漏和输尿管积水。
我们成功为 143 例患者实施了输尿管远端吻合术，并将其与回肠端端插入术相结合。平均术后随访时间为 37 个月（范围：10-68 个月）。无吻合口漏发生。吻合口狭窄合并肾盂积水、回肠导管结石、尿路感染和肾功能不全的发生率分别为 2.1%、0.7%、2.1%和 4.2%。
输尿管远端联合并插入回肠的方法操作简单，有助于实现精确吻合，术后并发症较少。
