Baev V A, Zil'berman M N, Litvinenko A G, Svirenko D V, Radchenko E I, Chernov V V
Urol Nefrol (Mosk). 1996 Mar-Apr(2):45.
The authors have developed and used in 16 patients an endoscopic technique of continuous drainage of the upper urinary tracts by means of ureterocutaneostomy and assisting retroperitoneoscopy. The most reliable cutaneous fistula not inclined to scarring or narrowing can be established of small triangular skin flap from the wound margin sutured into the 2-3 cm longitudinal incision of the ureteral stump (stump ureterotomy). Such fistula may even heal without further internal drainage. In a short ureteral stump skin anastomosis may be formed in the depth of the wound with the use of longer cutaneous graft.
作者研发了一种通过输尿管皮肤造口术及辅助性腹膜后腹腔镜检查对上尿路进行持续引流的内镜技术,并将其应用于16例患者。可利用伤口边缘的小三角形皮瓣缝合成输尿管残端的2-3厘米纵行切口(残端输尿管切开术),建立最可靠的不易形成瘢痕或狭窄的皮肤瘘。这种瘘甚至可能无需进一步的内部引流即可愈合。在较短的输尿管残端情况下,可使用较长的皮肤移植物在伤口深处形成皮肤吻合。