Retroperitoneoscopic ureterocalicostomy for congenital proximal ureteral stenosis.
Retroperitoneoscopic ureterocalicostomy for congenital proximal ureteral stenosis.
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DOI：
10.1016/j.urology.2004.01.025
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发表时间：
2004-05-01
期刊：
影响因子：
2.1
通讯作者：
Ogawa, Osamu
中科院分区：
文献类型：
--
作者：
Terai, Akito;Kamoto, Toshiyuki;Ogawa, Osamu
我们报告首例后腹腔镜下输尿管造口术，患者为一名 17 岁男性患者，因先天性输尿管上段狭窄导致严重左肾积水。采用后腹腔镜入路，切除狭窄段，适度切除覆盖下萼的薄肾实质，将近端输尿管与下极端对端吻合。术后2年，患者无症状，肾积水明显减少，上输尿管未闭。后腹腔镜输尿管肾造口术在技术上是可行的，可以长期成功地重建复杂的肾盂输尿管连接部梗阻。
We report the first case of retroperitoneoscopic ureterocalicostomy in a 17-year-old male patient with severe left hydronephrosis caused by a long congenital upper ureteral stenosis. With a retroperitoneoscopic approach, the stenotic segment was resected, the thin renal parenchyma overlying the lower calyx was fenestrated by a modest excision, and the proximal ureter was anastomosed to the lower pole in an end-to-end manner. At 2 years postoperatively, the patient was asymptomatic, with a significant reduction in hydronephrosis and a patent upper ureter. Retroperitoneoscopic ureterocalicostomy is technically feasible and can provide long-term successful reconstruction of a complicated ureteropelvic junction obstruction.