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输尿管下段肿瘤的保守治疗:改良输尿管膀胱吻合术用于上尿路内镜控制。

Conservative treatment of lower ureteral tumor: modified ureteroneocystostomy for upper urinary tract endoscopic control.

作者信息

Pagano F

出版信息

J Urol. 1984 Sep;132(3):555-7. doi: 10.1016/s0022-5347(17)49735-7.

DOI:10.1016/s0022-5347(17)49735-7
PMID:6471196
Abstract

A total of 4 patients with transitional cell carcinoma of the lower ureter underwent distal ureterectomy and ureteroneocystostomy, and were followed by ureterorenoscopy. The ureterovesical anastomosis straightened the remaining ureter, thus, avoiding any curvature or angulation between intravesical and extravesical segments. This result made possible routine endoscopic followup of all patients, since passage of a rigid ureterorenoscope through the ureter was easy without the need for dilation. No reflux was observed after ureterovesical reimplantation and endoscopic control. The results of the modified ureterovesical anastomosis strongly favor a more conservative surgical approach to transitional cell carcinoma of the distal ureter.

摘要

共有4例下段输尿管移行细胞癌患者接受了输尿管远端切除术和输尿管膀胱再植术,随后接受输尿管镜检查。输尿管膀胱吻合术使剩余输尿管变直,从而避免膀胱内段和膀胱外段之间出现任何弯曲或成角。这一结果使得对所有患者进行常规内镜随访成为可能,因为硬性输尿管镜可以轻松通过输尿管,无需扩张。输尿管膀胱再植术和内镜检查后未观察到反流。改良输尿管膀胱吻合术的结果强烈支持对远端输尿管移行细胞癌采用更保守的手术方法。

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Risk-adapted strategy for the kidney-sparing management of upper tract tumours.风险适应策略在上尿路肿瘤保肾治疗中的应用。
Nat Rev Urol. 2015 Mar;12(3):155-66. doi: 10.1038/nrurol.2015.24. Epub 2015 Feb 24.