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首页> 外文期刊>African journal of urology >Transperitoneal laparoscopic ureteric reimplantation for lower ureteric strictures and ureterovaginal fistulas: A study from north India
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Transperitoneal laparoscopic ureteric reimplantation for lower ureteric strictures and ureterovaginal fistulas: A study from north India

机译：经腹腔镜下输尿管再植术治疗下输尿管狭窄和输尿管阴道瘘：来自印度北部的一项研究

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Introduction Incidence of lower ureteric injuries has increased due to proliferation of complex pelvic laparoscopic and ureteroscopic procedures. Objective To describe our experience of laparoscopic ureteric reimplantation for lower ureteric strictures and ureterovaginal fistulas due to different aetiologies. Patients and methods A total of 42 patients underwent laparoscopic ureteric reimplantation from January 2007 to December 2013 after preoperative evaluation by intravenous urography or CT urogram to delineate the site and length of stricture or ureterovaginal fistula. All the patients were followed up with ultrasonography and micturating cystourethrogram at 3 months. Out of the total 42 patients, 22 patients (group 1) underwent laparoscopic ureteric reimplant for lower ureteric stricture and 20 patients (group 2) underwent laparoscopic ureteric reimplant for ureterovaginal fistula. Results There were 5 male and 37 female patients. The mean patient age was 43.5 ± 12 (range 24–62 yrs), mean operating time was 129 ± 11 (range 110–160) minutes, mean hospital stay was 2.8 (range 2–6) days and mean follow up period of 16 months (range 6–70). Two procedures had to be converted to open (one each in both groups). There were no major (Clavien grade III and above) intra-operative or post-operative complications. One of the failures in lower ureteric stricture group was managed by open reconstruction with boari flap. Conclusion Laparoscopic ureteric reimplantation is an excellent modality for both lower ureteric strictures and ureterovaginal fistulas with long term good outcomes in addition to the advantage of lesser hospital stay and lesser comorbidities.
机译：简介由于复杂的腹腔镜和输尿管镜手术的扩散，下输尿管损伤的发生率有所增加。目的描述因病因不同而导致腹腔镜下输尿管再植术治疗下输尿管狭窄和输尿管阴道瘘的经验。患者和方法2007年1月至2013年12月，共有42例患者接受了术前静脉输尿管造影或CT尿路造影评估，以明确狭窄或输尿管阴道瘘的部位和长度，并进行了腹腔镜输尿管再植。所有患者均在3个月后接受了超声检查和膀胱尿道造影。在总共42例患者中，有22例（第1组）接受了腹腔镜输尿管再造术以降低输尿管狭窄，而有20例（第2组）接受了腹腔镜输尿管再造术以治疗输尿管阴道瘘。结果男5例，女37例。患者平均年龄为43.5±12（24-62岁），平均手术时间为129±11（110-160）分钟，平均住院时间为2.8（2-6）天，平均随访时间为16月（范围6–70）。必须将两个过程转换为开放过程（两组中每个过程一个）。术中或术后均无重大并发症（克拉维恩III级及以上）。下输尿管狭窄组的其中一项失败是通过使用Boari瓣进行的开放重建治疗的。结论腹腔镜输尿管再植术是输尿管下段狭窄和输尿管阴道瘘的一种很好的治疗方法，具有长期良好的效果，而且住院时间短，合并症少。

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