The Journal of urology · 1996
Modified ureteral stripping as an alternative to open surgical ureterectomy.
Клиническое исследованиеСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Roth S, van Ahlen H, Semjonow A, Hertle L
Аннотация
PURPOSE: Using a compression technique instead of the classical invagination technique in cases of total nephroureterectomy improves traction during transurethral stripping of the ureteral stump.
MATERIALS AND METHODS: Eight patients underwent our modified compression technique. After nephrectomy a kinked 5F ureteral catheter is attached to the ureteral stump with a double ligation. Traction on the ureteral catheter is used to achieve ureteral compression.
RESULTS: There were no intraoperative difficulties except for 1 dislodged ureteral catheter. No complications were associated with ureteral detachment or resection.
CONCLUSION: Our technique offers an alternative to the classic invagination technique by increasing transurethral traction on the ureteral stump, while substantially decreasing the risk of ureteral catheter dislodgment.
MATERIALS AND METHODS: Eight patients underwent our modified compression technique. After nephrectomy a kinked 5F ureteral catheter is attached to the ureteral stump with a double ligation. Traction on the ureteral catheter is used to achieve ureteral compression.
RESULTS: There were no intraoperative difficulties except for 1 dislodged ureteral catheter. No complications were associated with ureteral detachment or resection.
CONCLUSION: Our technique offers an alternative to the classic invagination technique by increasing transurethral traction on the ureteral stump, while substantially decreasing the risk of ureteral catheter dislodgment.