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盆腔淋巴结清扫术中发现的单侧重复集合系统:病例报告及文献综述

Unilateral Duplicated Collecting System Identified During Pelvic Lymphadenectomy: A Case Report and Literature Review.

作者信息

Malligiannis Ntalianis Konstantinos, Cheung Candice, Resta Christina, Liyanage Sidath, Toneva Fani

机构信息

Obstetrics and Gynaecology, Mid & South Essex NHS Foundation Trust, Southend-On-Sea, GBR.

Radiology, Gynaecology, and Oncology, Mid & South Essex NHS Foundation Trust, Southend-On-Sea, GBR.

出版信息

Cureus. 2022 Jun 25;14(6):e26331. doi: 10.7759/cureus.26331. eCollection 2022 Jun.

DOI:10.7759/cureus.26331
PMID:35775063
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9236700/
Abstract

Anatomic variations can be an additional challenge for any surgeon, especially in complicated surgical procedures, and they could lead to complications if not identified timely. We present a case report of an incidental intraoperative finding of unilateral duplicated ureter, identified during pelvic lymphadenectomy for a patient who underwent surgical treatment for ovarian cancer. Also, we include an update on this anatomic variation following the literature review. The importance of a systematic approach in the identification of the relevant anatomy and landmarks, taking into consideration the variation of the duplicated ureter, is emphasized in this paper and may contribute beneficially to the experience of surgeons operating in this field.

摘要

解剖变异对任何外科医生来说都是一项额外的挑战,尤其是在复杂的外科手术中,如果未能及时识别,可能会导致并发症。我们报告一例在卵巢癌手术治疗患者盆腔淋巴结清扫术中偶然发现单侧重复输尿管的病例。此外,我们还结合文献综述对这种解剖变异进行了更新。本文强调了系统识别相关解剖结构和标志的方法的重要性,同时考虑到重复输尿管的变异,这可能对该领域的外科医生的经验积累有有益贡献。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b2d/9236700/993ce875ce18/cureus-0014-00000026331-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b2d/9236700/ea0a09d6d4a6/cureus-0014-00000026331-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b2d/9236700/9614daab7f50/cureus-0014-00000026331-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b2d/9236700/993ce875ce18/cureus-0014-00000026331-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b2d/9236700/ea0a09d6d4a6/cureus-0014-00000026331-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b2d/9236700/9614daab7f50/cureus-0014-00000026331-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b2d/9236700/993ce875ce18/cureus-0014-00000026331-i03.jpg

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Unilateral Duplicated Collecting System Identified During Pelvic Lymphadenectomy: A Case Report and Literature Review.盆腔淋巴结清扫术中发现的单侧重复集合系统:病例报告及文献综述
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Ann Med Surg (Lond). 2023 Sep 1;85(10):5214-5218. doi: 10.1097/MS9.0000000000001215. eCollection 2023 Oct.

本文引用的文献

1
Partial Duplication of the Left Ureter and Enlarged Left Suprarenal Gland - A Case Report.左输尿管部分重复及左肾上腺增大——病例报告
Cureus. 2021 Dec 31;13(12):e20848. doi: 10.7759/cureus.20848. eCollection 2021 Dec.
2
Double Ureter: Incidence, Types, and Its Applied Significance-A Cadaveric Study.重复输尿管:发生率、类型及其应用意义——一项尸体研究
Cureus. 2020 Apr 21;12(4):e7760. doi: 10.7759/cureus.7760.
3
Complete unilateral ureteral duplication encountered during intersphincteric resection for low rectal cancer.低位直肠癌括约肌间切除术中遇到的完全性单侧输尿管重复畸形。
J Surg Case Rep. 2018 Oct 11;2018(10):rjy266. doi: 10.1093/jscr/rjy266. eCollection 2018 Oct.
4
The duplicated collecting system of the urinary tract: embryology, imaging appearances and clinical considerations.泌尿系统重复集合系统:胚胎学、影像学表现及临床考量
Pediatr Radiol. 2017 Oct;47(11):1526-1538. doi: 10.1007/s00247-017-3904-z. Epub 2017 Sep 21.
5
Congenital malformations of the ureter: anatomical studies.输尿管先天性畸形:解剖学研究
Anat Sci Int. 2016 Jun;91(3):290-4. doi: 10.1007/s12565-015-0296-8. Epub 2015 Aug 19.
6
Duplex collecting system diagnosed during the first 6 years of life after a first urinary tract infection: a study of 63 children.首次尿路感染后6年内诊断出的重复集合系统:63例儿童的研究
J Urol. 2006 Feb;175(2):678-81; discussion 681-2. doi: 10.1016/S0022-5347(05)00184-9.
7
Ureteral duplication and its complications.输尿管重复及其并发症。
Radiographics. 1997 Jan-Feb;17(1):109-27. doi: 10.1148/radiographics.17.1.9017803.
8
Iatrogenic injuries to the ureter during gynecologic and obstetric operations.妇产科手术中输尿管的医源性损伤。
Surg Gynecol Obstet. 1991 Oct;173(4):268-72.