Stein A, Aghai E, Cohen O, Shapira Z, Lurie A
Department of Urology, Lady Davis Carmel Hospital, Haifa, Israel.
Urol Int. 1995;55(3):167-8. doi: 10.1159/000282778.
Large-cell retroperitoneal lymphoma was partially resected including a long segment of ureter. The proximal end of the ureter was clipped during surgery. A percutaneous nephrostomy was inserted after 48 h. Adjuvant chemotherapy was then delivered and the kidney was autotransplanted to the contralateral iliac fossa. Salvage of a hydronephrotic functioning kidney by nephrostomy and delayed contralateral autotransplantation in a case of huge retroperitoneal tumor involving the ureter has not, to the best of our knowledge, been described previously. This might suggest a reasonable approach for young patients with large retroperitoneal tumors involving long segments of the ureter. Autotransplantation was performed only after a disease-free status was confirmed following chemotherapy.
大细胞腹膜后淋巴瘤部分切除，包括一段较长的输尿管。手术过程中输尿管近端被夹闭。48小时后插入经皮肾造瘘管。随后进行辅助化疗，并将肾脏自体移植至对侧髂窝。据我们所知，此前尚未描述过在巨大腹膜后肿瘤累及输尿管的病例中，通过肾造瘘术挽救肾积水功能肾并延迟对侧自体移植的情况。这可能为年轻的腹膜后大肿瘤累及长段输尿管的患者提供了一种合理的治疗方法。仅在化疗后确认无疾病状态才进行自体移植。
