Laparoscopic ureterocalicostomy for salvage of giant hydronephrotic kidney: Initial experience
Laparoscopic ureterocalicostomy for salvage of giant hydronephrotic kidney: Initial experience
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DOI：
10.1016/j.urology.2007.06.1088
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发表时间：
2007-09-01
期刊：
影响因子：
2.1
通讯作者：
Mandal, Arup K.
中科院分区：
文献类型：
--
作者：
Agarwal, Mayank Mohan;Sharma, Darshan;Mandal, Arup K.
修复巨大肾积水的重建手术具有独特的挑战。介绍腹腔镜输尿管造口术治疗巨大肾积水的手术方法。经腹膜五孔通道建立，反映结肠后，肾积水的下极。囊被切除。输尿管输尿管端到端宽的、匙状的输尿管进行吻合。囊在可控的情况下缓慢减压，有助于解剖。随访3个月，患者无症状，逆行输尿管造影显示吻合面宽，通畅。腹腔镜输尿管造口术在技术上是可行的，可以挽救巨大的肾盂，并且可以复制开放手术的结果。
Reconstructive surgery for salvage of giant hydronephrosis is associated with unique challenges. We introduce the surgical technique of laparoscopic ureterocalicostomy for giant hydronephrosis. A transperitoneal five-port access was created and, after reflecting the colon, the lower pole of the hydronephrotic. sac was excised. A wide, spatulated end-to-end ureterocaliceal. anastomosis was performed. The sac was decompressed slowly in a controlled manner, which helped during dissection. At 3 months of follow-up, the patient was symptom free, and retrograde ureterography showed a wide, patent anastomosis. Laparoscopic ureterocalicostomy is technically feasible for the salvage of a giant hydro, nephrotic kidney and duplicates the results of open surgery.