Ianieri Manuel Maria, Rosati Andrea, Ercoli Alfredo, Foschi Nazario, Campolo Federica, Greco Pierfrancesco, Scambia Giovanni
Division of Gynecologic Oncology, Department of Women's and Children's Health, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.
Department of Human Pathology of the Adult and of the Childhood "Gaetano Barresi", University of Messina, Messina, Italy.
Int J Gynaecol Obstet. 2023 Feb;160(2):563-570. doi: 10.1002/ijgo.14402. Epub 2022 Aug 29.
To investigate the feasibility and the efficacy of laparoscopic ureteroneocystostomy with round ligament bladder hitching.
This is a monocentric retrospective study. Enrolled patients affected by deep endometriosis underwent laparoscopic nerve-sparing parametrectomy and monolateral ureteroneocystostomy with bladder suspension to the round ligament. Perioperative and postoperative outcomes were collected, as well as urinary and pain symptoms before and after surgery.
Laparoscopic ureteroneocystostomy with round ligament bladder hitching was performed in nine women. The most frequent postoperative complication was post-voiding urinary retention (22.2%). No ureteral fistula or stenosis of the anastomosis was reported.
In selected cases of ureteral resection and reimplantation, performing a round ligament bladder hitching allowed us to overcome the ureteral gap. This is a safe and feasible procedure to ensure stability of the anastomosis and avoid the possible disadvantages of the "standard" psoas hitch procedure.
探讨腹腔镜下输尿管膀胱再植术联合圆韧带膀胱悬吊术的可行性及疗效。
这是一项单中心回顾性研究。纳入的深部子宫内膜异位症患者接受了腹腔镜保留神经的子宫旁组织切除术及单侧输尿管膀胱再植术，并将膀胱悬吊至圆韧带。收集围手术期和术后结果，以及手术前后的泌尿系统和疼痛症状。
9名女性接受了腹腔镜下输尿管膀胱再植术联合圆韧带膀胱悬吊术。最常见的术后并发症是排尿后尿潴留（22.2%）。未报告输尿管瘘或吻合口狭窄。
在选定的输尿管切除和再植病例中，进行圆韧带膀胱悬吊术使我们能够克服输尿管间隙。这是一种安全可行的手术，可确保吻合口的稳定性，并避免“标准”腰大肌悬吊术可能存在的缺点。
