Williams Taylor R, Diallo Ismael, Issa Muta, Massarweh Nader N
Department of Surgery, Morehouse School of Medicine, Atlanta, GA, USA.
Surgical and Perioperative Care, Atlanta Veterans Affairs Health Care System, Decatur, GA, USA.
J Surg Case Rep. 2023 Jul 18;2023(7):rjad414. doi: 10.1093/jscr/rjad414. eCollection 2023 Jul.
Ureteral defects can be repaired using a variety of different techniques that depend on the length and position of the defect. Here we describe a case where a long, upper-ureteral defect was successfully reconstructed using an appendiceal interposition graft. A 60-year-old female patient underwent resection of a right-sided retroperitoneal leiomyosarcoma that was encasing the entire upper ureter and obstructing the right kidney. The mass was resected en bloc, leaving behind an 11 cm ureteral defect. The defect was successfully reconstructed with an appendiceal interposition graft. Appendiceal interposition grafts are a feasible and effective approach for ureteral reconstruction in adults following oncologic resection. We describe various technical aspects that optimize the success of ureteral reconstruction.
输尿管缺损可采用多种不同技术进行修复，具体取决于缺损的长度和位置。在此，我们描述一例使用阑尾置入移植术成功重建长段上段输尿管缺损的病例。一名60岁女性患者接受了右侧腹膜后平滑肌肉瘤切除术，该肿瘤包绕整个上段输尿管并阻塞右肾。肿瘤整块切除后，遗留11厘米的输尿管缺损。通过阑尾置入移植术成功重建了缺损。阑尾置入移植术是成人肿瘤切除术后输尿管重建的一种可行且有效的方法。我们描述了优化输尿管重建成功的各种技术细节。
