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[腔内套叠技术用于输尿管肠道狭窄切开术]

[Intraluminal invagination technic for the incision of ureterointestinal stenosis].

作者信息

Lovaco Castellano F, Fernández González I, Rodríguez Rodríguez R, Fernández Fernández E, Escudero Barrilero A, Rodríguez Luna J M, García Cuerpo E

机构信息

Servicio de Urología, Hospital Ramón y Cajál, Madrid, España.

出版信息

Arch Esp Urol. 1995 Jun;48(5):541-8.

PMID:7639576
Abstract

OBJECTIVE

This paper describes the endoscopic incision of uretero-ileal anastomotic strictures by a combined approach (percutaneous antegrade and endoscopic retrograde) using the intraluminal invagination technique over a balloon dilatation catheter.

METHODS

The different steps of the surgical procedure of incision of the stenotic segment of different techniques of ureteroileal diversion (Bricker, Camey, ureterosigmoidostomy) are described in detail. Endoscopic images and those from the image intensifier are shown.

RESULTS

Of the 6 cases described herein, incision was achieved in 5 and in 1 case stenting of the stenotic segment could not be achieved.

CONCLUSIONS

Intraluminal invagination of the stenotic segment considerably facilitates endoscopic incision.

摘要

目的

本文描述了一种联合方法(经皮顺行和内镜逆行),通过在球囊扩张导管上使用腔内套叠技术对输尿管-回肠吻合口狭窄进行内镜下切开。

方法

详细描述了不同输尿管回肠转流术(Bricker术、Camey术、输尿管乙状结肠吻合术)狭窄段切开手术操作的不同步骤。展示了内镜图像和影像增强器图像。

结果

在本文描述的6例病例中,5例成功切开,1例狭窄段无法置入支架。

结论

狭窄段的腔内套叠极大地促进了内镜下切开。

相似文献

1
[Intraluminal invagination technic for the incision of ureterointestinal stenosis].[腔内套叠技术用于输尿管肠道狭窄切开术]
Arch Esp Urol. 1995 Jun;48(5):541-8.
2
[Endo-urologic treatment of the uretero-intestinal stenoses in patients subjected to diversion].[对接受改道手术患者输尿管肠道狭窄的腔内泌尿外科治疗]
Arch Esp Urol. 1990 Jun;43(5):551-6.
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[Treatment of ureteral stenosis using high pressure dilatation catheters].[使用高压扩张导管治疗输尿管狭窄]
Prog Urol. 1997 Jun;7(3):408-14.
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[Treatment of uretero-intestinal and uretero-vesical stenoses with the Acucise balloon catheter].[使用Acucise球囊导管治疗输尿管肠道和输尿管膀胱狭窄]
Prog Urol. 2001 Dec;11(6):1224-30.
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[Endourologic treatment of uretero-ileal stenosis].
Arch Esp Urol. 1995 Sep;48(7):735-40.
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[Percutaneous approach in postureteroenterostomy ureteral stenosis. Experience of the Urological Department of Sf. Ioan Emergency Hospital, Bucharest].[经皮途径治疗输尿管狭窄术后肠吻合口狭窄。布加勒斯特圣约翰急救医院泌尿外科经验]
Chirurgia (Bucur). 2009 Nov-Dec;104(6):731-6.
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[Stenosis of the ileal loop in a patient with Bricker type urinary diversion].[Bricker式尿路改道患者的回肠袢狭窄]
Actas Urol Esp. 1997 Nov-Dec;21(10):981-4.
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Ureteroileal anastomotic strictures after a Bricker ileal conduit: 50 case assessment of the impact of conversion from a slit incision to a "shield shaped" ileotomy.Bricker回肠膀胱术后输尿管回肠吻合口狭窄:50例病例评估从纵切口改为“盾形”回肠切开术的影响
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[A case of ileal conduit stenosis 13 years after construction].[一例回肠膀胱术构建13年后出现狭窄的病例]
Hinyokika Kiyo. 2001 Oct;47(10):759-61.
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[Endourologic treatment of benign uretero-intestinal stenosis in patients with definitive urinary diversion: 10-year experience].
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New clinical insights into the treatment of benign uretero-ileal anastomotic stricture following radical cystectomy and urinary diversion.根治性膀胱切除术和尿流改道术后良性输尿管-回肠吻合口狭窄的治疗新临床见解。
Cancer Med. 2024 Sep;13(17):e70229. doi: 10.1002/cam4.70229.