Gallucci M, Alpi G
Department of Urology, Cristo Re Hospital, Rome, Italy.
J Endourol. 1996 Apr;10(2):127-32. doi: 10.1089/end.1996.10.127.
The authors present a 5-year follow-up of endopyelotomy using a personal technique for cases of primary ureteropelvic junction obstruction. After percutaneous access has been gained via a lower calix, the technique involves wide opening of the renal pelvis and exploration of the peripelvic space before a 3- to 4-cm long sectioning of the ureter. The aim is to carry out all of the operation in full view and without the need for a large-caliber stent, in order to perform endopyelotomy also in pediatric patients or in presence of anomalous vessels. The follow-up demonstrates a good result in 80% of 46 patients aged 5 to 62 years; two patients underwent surgical repair. The authors think the antegrade transpelvic endopyelotomy is an endourologic operation whose results and feasibility parallel those of open surgery.
作者对采用个人技术治疗原发性输尿管肾盂连接部梗阻病例进行了5年的肾盂内切开术随访。经下肾盏建立经皮通路后，该技术包括在对输尿管进行3至4厘米长的切开之前，广泛打开肾盂并探查肾盂周围间隙。目的是在完全可视的情况下完成整个手术，且无需大口径支架，以便在儿科患者或存在异常血管的情况下也能进行肾盂内切开术。随访显示，46例年龄在5至62岁的患者中有80%取得了良好效果；两名患者接受了手术修复。作者认为顺行经肾盂肾盂内切开术是一种腔内泌尿外科手术，其结果和可行性与开放手术相当。
