Gibbons M D, Ehrlich F, Koontz W W, Salzberg A M
J Pediatr Surg. 1977 Jun;12(3):465-9. doi: 10.1016/0022-3468(77)90025-2.
Experimental resection of a segment of ureter in the puppy with end-to-end ureteroureterostomy led to severe anastomotic stricture, obstructive atrophy, and 100% ipsilateral renal loss at one year. This may have been the result of unrecognized anastomotic tension. Transureteroureterostomy was followed by normally functioning upper urinary tracts at the end of one year, without evidence of damage to the recipient ureter. These experimental findings in the growing animal suggest that transureteroureterostomy in the immature nondilated ureter is a safe and reliable procedure in the management of surgically acquired unilateral segmental ureteral defects.
在幼犬身上进行输尿管节段性切除并端端输尿管吻合术,术后一年出现严重的吻合口狭窄、梗阻性萎缩,同侧肾脏丧失率达100%。这可能是未识别出的吻合口张力所致。而输尿管间置吻合术在术后一年时上尿路功能正常,且未发现受者输尿管有受损迹象。这些在生长动物身上的实验结果表明,在未成熟、未扩张的输尿管中进行输尿管间置吻合术,对于手术造成的单侧节段性输尿管缺损而言,是一种安全可靠的治疗方法。