Brühl P, Henrich M
Zentralbl Chir. 1986;111(18):1124-33.
Injuries to the ureter were found to occur primarily in cases of left-side Dukes C tumour, along with dissection of regional lymph nodes to cope with peritumorous infiltration. The area of an injury must be very carefully dissected. A splint should be inserted, when the ureteral lumen has been opened. A few approximation sutures should be made and the retroperitoneum drained. Anti-refluxive re-implantation and Psoas Hitch plasty are recommended to cope with situations in which distal parts of the ureter are missing (due to direct or indirect damage or late sequels). Percutaneous nephrostomy is considered to be the optional therapeutic approach to extravasation and engorgement of the kidney.
发现输尿管损伤主要发生在左侧Dukes C期肿瘤病例中，同时为应对肿瘤周围浸润而进行区域淋巴结清扫时。损伤区域必须非常仔细地进行解剖。当输尿管腔被打开时，应插入一根支架。应进行几针近似缝合，并引流腹膜后间隙。对于输尿管远端缺失（由于直接或间接损伤或晚期后遗症）的情况，建议采用抗反流再植术和腰大肌悬吊成形术。经皮肾造瘘术被认为是治疗肾外渗和充血的可选治疗方法。
