Barrou B, Bitker M O, Léo J P, Fourcade R, Legrain M, Chatelain C
Ann Urol (Paris). 1987;21(2):138-40.
Progress in gastrointestinal endoscopy enables it to be used routinely in the diagnosis, treatment and follow-up of colonic tumours. The development of a tumour, especially adenocarcinoma, at the site of anastomosis of uretero-sigmoidostomy is a particular case. The endoscopic examination is delicate and confusion between the ureterocolonic junction and a polyp may have dramatic consequences when biopsy is performed. Two cases are reported: in one case, the error required nephro-ureterectomy and in the other case percutaneous nephrostomy, now a routine procedure, allowed salvage of the single kidney and preservation of the diversion with satisfactory long term function.
胃肠道内镜检查技术的进步使其能够常规用于结肠肿瘤的诊断、治疗及随访。输尿管乙状结肠吻合口处肿瘤,尤其是腺癌的发生是一种特殊情况。内镜检查操作精细,在进行活检时,输尿管结肠交界处与息肉之间的混淆可能会产生严重后果。本文报告了两例病例:一例中,该错误导致了肾输尿管切除术;另一例中,经皮肾造瘘术(如今已是常规手术)挽救了单肾,并保留了改道术,长期功能良好。