Laparoscopic redo pyeloplasty with a buccal mucosal graft.
Laparoscopic redo pyeloplasty with a buccal mucosal graft.
复制标题
腹腔镜重做肾上腺成形术，并带有颊粘膜移植物。
DOI：
10.1002/iju5.12567
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发表时间：
2023-03
期刊：
影响因子：
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通讯作者：
Kojima, Satoko
中科院分区：
文献类型：
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作者：
Shimizu, Nobuhiko;Naya, Yukio;Sekine, Keita;Hou, Kyokushin;Okato, Atsushi;Suyama, Takahito;Araki, Kazuhiro;Masuda, Hiroshi;Kojima, Satoko
由于疤痕组织或纤维化，重做肾盂成形术可能很困难。颊黏膜移植输尿管重建手术安全、成功，但颊黏膜移植输尿管重建的报道大多是机器人辅助手术，腹腔镜辅助手术的报道很少。介绍了一例使用颊粘膜移植物进行腹腔镜辅助重做肾盂成形术的病例。一名53岁女性被诊断为肾盂输尿管连接部梗阻，并放置双J支架以缓解腰痛。她在放置双 J 支架 6 个月后来我们医院就诊。三个月后，进行了腹腔镜肾盂成形术。术后2个月，出现解剖狭窄。进行钬激光输尿管内切开术和球囊扩张术；然而，解剖狭窄再次出现，并进行了腹腔镜颊粘膜移植重做肾盂成形术。重做肾盂成形术后，梗阻得到改善，症状消失。这是日本首例使用颊粘膜移植物进行腹腔镜肾盂成形术的病例。
Redo pyeloplasty can be difficult due to scar tissue or fibrosis. Ureteral reconstruction with a buccal mucosal graft is performed safely and successfully, but most reports of ureteral reconstruction using a buccal mucosal graft are of robot‐assisted surgery, with few reports of laparoscopic‐assisted surgery. A case of laparoscopic‐assisted redo pyeloplasty using a buccal mucosal graft is presented. A 53‐year‐old woman was diagnosed with ureteropelvic junction obstruction, and a double‐J stent was placed to relieve backache. She visited our hospital 6 months after double‐J stent placement. Three months later, laparoscopic pyeloplasty was performed. At 2 months postoperatively, anatomic stenosis occurred. Holmium laser endoureterotomy and balloon dilation were performed; however, the anatomic stenosis recurred, and laparoscopic redo pyeloplasty with a buccal mucosal graft was performed. After redo pyeloplasty, obstruction was improved, and her symptoms disappeared. This is the first case of using a buccal mucosal graft for laparoscopic pyeloplasty in Japan.