Rich M A
Department of Urology, Long Island Jewish Medical Center, New Hyde Park, New York.
Urol Clin North Am. 1988 Aug;15(3):407-12.
We do not contend that all ureters are amenable to ureteroscopic manipulation; we only call attention to the vast and expanding armamentarium available to the practicing endourologist. The application of these techniques and instruments in certain cases, especially when the potential for morbidity with an open operation is significant, will no doubt result in ever-increasing numbers of challenging ureters being managed successfully by the integration of antegrade and retrograde endourologic techniques. However, it should be remembered that the procedure is invasive and therefore should be performed by experienced endourologists for the proper indications.
我们并非主张所有输尿管都适合输尿管镜操作;我们只是提请注意,可供执业腔内泌尿外科医生使用的设备种类繁多且不断增加。在某些情况下,尤其是开放手术的发病风险很大时,应用这些技术和器械,无疑将通过顺行和逆行腔内泌尿外科技术的结合,成功处理越来越多具有挑战性的输尿管。然而,应该记住,该操作是侵入性的,因此应由经验丰富的腔内泌尿外科医生根据适当的指征进行操作。