Beurton D
J Urol Nephrol (Paris). 1979 Mar;85(3):181-8.
The author suggests a special incision in the bladder permitting the formation of a tube using a strip of bladder long enough to permit an anti-reflux vesico ureteral reimplantation. The method is a combination of the Boari and the transverse bipartition described by Turner Warwick. Extraperitonealization of the hemi-bladder opposite to the diseased ureter and section of the umbilical artery. Transverse anterior cystostomy at mid height of the bladder. The mobilized dome of the bladder is stitched up to the psoas muscle above the iliac vessels. Creation of a rectangular flat, the anterior limit of which is the superior margin of the transverse cystostomy, of which the upper part is a split which cuts the dome of the bladder from front to back, of which the posterior limit is a split on the posterior wall of the bladder, parallel to the anterior incision. The length must not be larger than one and one half the width of the flap. Reimplantation of the ureter, creation of the tube and closure of the bladder is done without difficulty. Drawings illustrate the technic. Four cases are reported with three successes.
作者建议在膀胱上做一个特殊切口，利用一条足够长的膀胱组织条形成管道，以进行抗反流性膀胱输尿管再植术。该方法是博阿利（Boari）法与特纳·沃里克（Turner Warwick）描述的横向二分法的结合。将病变输尿管对侧的半膀胱腹膜外游离，并切断脐动脉。在膀胱中部高度做横向膀胱造口术。游离的膀胱顶部缝合至髂血管上方的腰大肌。制作一个矩形平面，其前界为横向膀胱造口术的上缘，其上半部分是一个从前向后切开膀胱顶部的切口，其后界是膀胱后壁上与前切口平行的切口。其长度不得大于皮瓣宽度的1.5倍。输尿管再植、管道制作及膀胱关闭操作均无困难。附图说明了该技术。报告了4例病例，3例成功。
