Xu Liqing, Li Xinfei, Li Zhihua, Yang Kunlin, Li Xuesong
Department of Urology, Institute of Urology, National Urological Cancer Center, Peking University First Hospital, Peking University, No. 8 Xishiku Street, Xicheng District, Beijing, 100034, China.
Int Urol Nephrol. 2025 Apr 11. doi: 10.1007/s11255-025-04483-5.
We report a surgical technique combining an appendiceal interposition with a Boari flap for the long right ureteral strictures. The major surgical procedures include dissection of the ureter, resection of the stricture lesion and the fibrous scar, performing a psoas hitch and assessment, preparing tubular appendix, and anastomosing the ureteral stump to the apex of the appendix, formation of the bladder flap, and anastomosing the base of the appendix to the bladder flap. At the last follow-up, the patient has recovered well with no complication. The robot-assisted appendiceal interposition plus Boari flap with ICG-fluorescent is a safe and feasible technique for the long right ureteral stricture.
我们报告一种将阑尾植入与波里皮瓣相结合的手术技术，用于治疗右侧较长的输尿管狭窄。主要手术步骤包括输尿管解剖、狭窄病变及纤维瘢痕切除、腰大肌悬吊及评估、制备管状阑尾、输尿管残端与阑尾顶端吻合、膀胱瓣形成以及阑尾基部与膀胱瓣吻合。在最后一次随访时，患者恢复良好，无并发症。机器人辅助的阑尾植入加波里皮瓣并使用吲哚菁绿荧光成像技术，对于右侧较长的输尿管狭窄是一种安全可行的技术。
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