Lamesch A J
J Urol. 1981 Jan;125(1):73-4. doi: 10.1016/s0022-5347(17)54909-5.
In 200 cases the antireflux plasty by the Cohen advancement technique proved to be a simple and reliable method of reflux treatment. The resulting impossibility of normal endoscopic retrograde catheterization of the ureter after the Cohen procedure. With the patient under general anesthesia the bladder is punctured with a thin trocar by a stab incision at the appropriate pole of the suprapubic skin incision scar. The surgeon directs the trocar under endoscopic control to the ureteral orifice, while an assistant carefully inserts the ureteral catheter into the ureter. This method proved to be easy and without major risk in 5 children.
在200例患者中，经证实采用科恩推进技术进行抗反流成形术是一种简单可靠的反流治疗方法。科恩手术后输尿管无法进行正常的内镜逆行插管。在全身麻醉下，通过耻骨上皮肤切口瘢痕适当极点处的戳孔切口，用细套管针穿刺膀胱。外科医生在内镜控制下将套管针导向输尿管口，同时助手小心地将输尿管导管插入输尿管。该方法在5名儿童中被证明操作简便且风险较小。
