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タイトル: 腎部分切除後の遷延性尿瘻に対しFibrin glue の経皮的注入を行った1例
その他のタイトル: Percutaneous Fibrin Glue Injection for Persistent Urinary Leakage after Partial Nephrectomy : A Case Report
著者: 岡田, 卓也  KAKEN_name
河野, 有香  KAKEN_name
松本, 敬優  KAKEN_name
宇都宮, 紀明  KAKEN_name
常森, 寛行  KAKEN_name
川喜田, 睦司  KAKEN_name
著者名の別形: Okada, Takuya
Kono, Yuka
Matsumoto, Keiyu
Utsunomiya, Noriaki
Tsunemori, Hiroyuki
Kawakita, Mutsushi
キーワード: Partial nephrectomy
Urinary leakage
Fibrin glue
発行日: 31-Mar-2017
出版者: 泌尿器科紀要刊行会
誌名: 泌尿器科紀要
巻: 63
号: 3
開始ページ: 107
終了ページ: 110
抄録: A 69-year-old man with left atrophic kidney was referred to our hospital because of a 5.7 cm solid mass in the lower pole of right kidney revealed by computed tomography for evaluation of aortic aneurysm. An open transperitoneal partial nephrectomy was performed, and final pathological diagnosis was clear cell carcinoma, grade 2, pT1b, pNx. One month postoperatively, a computed tomography revealed 16 cm retroperitoneal fluid collection which was diagnosed as urinoma due to urinary leakage from partial nephrectomy scar of the right lower calyx. Following percutaneous drainage of a 6 Fr Pigtail catheter, 6 Fr double-J ureteral stent and urethral catheter were placed, but the discharge through the percutaneous drain continued to be 700 to 1, 000 ml/day. Forty-one days after drainage, two open-end catheters (5 Fr) were directed into the urinary fistula lumen through the percutaneous tract and 6 ml of fibrin glue was injected under fluoroscopic guidance. Four days later, another 2 ml of fibrin glue was injected because of a small amount of residual urinary leakage and percutaneous drainage catheter was removed. Thereafter, urinary leakage was completely cured and ureteral stent and urethral catheter were removed.
著作権等: 許諾条件により本文は2018/04/01に公開
DOI: 10.14989/ActaUrolJap_63_3_107
URI: http://hdl.handle.net/2433/219092
PubMed ID: 28331167
出現コレクション:Vol.63 No.3

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