Pusan National University Yangsan Hospital, Department of Neurosurgery, Yangsan, Korea.
Turk Neurosurg. 2023;33(6):1132. doi: 10.5137/1019-5149.JTN.42599-22.3.
Oblique lateral interbody fusion (OLIF) has recently gained widespread use as a minimally invasive surgical procedure for degenerative lumbar disease. OLIF has several advantages but can also lead to several possible complications. For example, although less common, access through the retroperitoneal cavity can cause ureteral injury. Here, we report two cases of ureteral complications that occurred during consecutive OLIF procedures. One involved a 77-year-old female patient who had a double-J catheter inserted due to ureteral injury during surgery, and the other involved a 69-year-old male patient suspected of having a ureteral stricture due to retractor compression. To prevent ureteral complications in OLIF, it is necessary to accurately identify the anatomy of the ureter through preoperative imaging and to pay special attention during surgery.
斜外侧腰椎间融合术（OLIF）最近作为一种治疗退行性腰椎疾病的微创外科手术得到了广泛应用。OLIF 具有几个优点，但也可能导致几个潜在的并发症。例如，虽然不太常见，但通过腹膜后腔进入可能会导致输尿管损伤。在这里，我们报告了两例在连续 OLIF 手术中发生的输尿管并发症。一例涉及一位 77 岁的女性患者，由于手术中输尿管损伤而插入了双 J 导管，另一例涉及一位 69 岁的男性患者，由于牵开器压迫，怀疑有输尿管狭窄。为了预防 OLIF 中的输尿管并发症，需要通过术前影像学准确识别输尿管的解剖结构，并在手术中特别注意。
