Tocci P E, Politano V A, Lynne C M, Carrion H M
J Urol. 1976 Jun;115(6):731-5. doi: 10.1016/s0022-5347(17)59354-4.
Four of 8 cases that represent unusual and infrequent complications of the transvesicle Politano-Leadbetter ureteral reimplantation technique are reported. Approximately 90 per cent of ureteral reimplantations for vesicoureteral reflux may be done satisfactorily as a transvesical procedure but combining it with an extravesical approach of the ureter when necessary or indicated will serve to correct any conceivable congenital, acquired or iatrogenic lesion of the lower ureteral segment. The extravesical approach should be used if there is any difficulty in performing the procedure transvesically or if the patient has undergone previous attempts at antireflux operation. Obstructive complications may occur in either the early or late postoperative period. When discovered, surgical correction is usually indicated. We strongly advocate strict adherence to the surgical technique involved and meticulous postoperative followup of these patients.
本文报告了8例经膀胱Politano-Leadbetter输尿管再植技术罕见并发症的病例中的4例。大约90%的膀胱输尿管反流输尿管再植术可作为经膀胱手术满意完成，但必要时或有指征时将其与输尿管膀胱外入路相结合，将有助于纠正下段输尿管任何可能的先天性、后天性或医源性病变。如果经膀胱手术有任何困难，或患者既往曾尝试抗反流手术，则应采用膀胱外入路。梗阻性并发症可发生在术后早期或晚期。一旦发现，通常需手术矫正。我们强烈主张严格遵循所涉及的手术技术，并对这些患者进行细致的术后随访。
