Schreiber B
Urologe A. 1979 May;18(3):164-8.
The technique of endoscopically placing the Gibbons indwelling stent into the obstructed ureter is described. This technique offers several advantages, especially in managing poor-risk patients whose ureters are obstructed: 1. endoscopic placement of the ureteral stent is associated with less morbidity and mortality than supravesical diversion; 2. quality of life is much less reduced than in supravesical diversion; 3. it is readily reversible; 4 the ureteral stent does not interfere with subsequent operation and offers several advantages over PVC-splints and other materials used for long term ureteral drainage. The placement of an indwelling stent sometimes causes technical problems but complications are rare. 21 Gibbons indwelling ureteral stents have been placed in obstructed ureters of 16 patients at the age of 25--74 years. Our technique, indications, results and complications are described herein.
本文描述了在内镜下将吉本斯留置支架置入梗阻输尿管的技术。该技术具有若干优势,尤其在处理输尿管梗阻的高危患者时:1. 输尿管支架的内镜置入与膀胱上引流相比,发病率和死亡率更低;2. 生活质量的降低程度远低于膀胱上引流;3. 它易于逆转;4. 输尿管支架不影响后续手术,且与用于长期输尿管引流的PVC夹板及其他材料相比具有若干优势。留置支架的放置有时会引发技术问题,但并发症罕见。已在16例年龄在25至74岁患者的梗阻输尿管中置入了21个吉本斯留置输尿管支架。本文描述了我们的技术、适应证、结果及并发症。