Reimplantação ureteral em derivações urinárias intestinais – será a laparoscopia uma boa opção?

Acta Urológica Portuguesa Pub Date : 2016-04-01 DOI:10.1016/j.acup.2016.01.003

Paulo Mota , Emanuel Carvalho‐Dias , Nuno Carvalho , Agostinho Cordeiro , João Torres , Nuno Morais , Giovanni Grimaldi , Carlos Oliveira , António Pedro Carvalho , Estevão Lima

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Abstract

Introduction

The ureterointestinal stenosis is a relatively frequent complication after urinary diversions. The laparoscopic approach is rarely used but stay a therapeutic option.

Purpose

Show the surgical technique, step by step, of the laparoscopic ureteral/ureterointestinal estenosis correction.

Methods

A vídeo of a distal ureteral stenosis laparoscopic correction, on a patient that undergone laparoscopic radical cystectomy with orthotopic neobladder confection, was presented.

Results

It was possible the laparoscopic correction of a distal right ureter estenosis with good results and no complications.

Conclusion

The laparoscopic approach proved effective for treating ureter/ureterointestinal anastomosis stenosis and should be taken as a good option of treatment.

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输尿管再植在肠道泌尿分流-腹腔镜是一个好的选择吗?

输尿管肠狭窄是尿改道后较为常见的并发症。腹腔镜方法很少使用，但仍然是一种治疗选择。目的介绍腹腔镜输尿管/输尿管肠狭窄矫正术的手术步骤。方法对1例行腹腔镜根治性膀胱切除术合并原位新膀胱切除术患者输尿管远端狭窄的腹腔镜矫正术vídeo进行回顾性分析。结果腹腔镜下矫正右输尿管远端狭窄是可行的，效果良好，无并发症。结论腹腔镜下入路治疗输尿管/输尿管肠吻合口狭窄是一种有效的治疗方法。

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Acta Urológica Portuguesa

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