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タイトル: | 尿管病変に対する自家腎移植 : その適応と手術成績 |
その他のタイトル: | Renal autotransplantation for ureteral lesions--the indication and the results of operation |
著者: | 鈴木, 和雄 北川, 元昭 畑, 昌宏 太田, 信隆 大見, 嘉郎 田島, 惇 阿曽, 佳郎 |
著者名の別形: | SUZUKI, Kazuo KITAGAWA, Motoaki HATA, Masahiro OHTA, Nobutaka OHMI, Yoshio TAJIMA, Atsushi ASO, Yoshio |
キーワード: | Renal autotransplantation Ureteral disorders Repair of ureterostomy |
発行日: | Nov-1984 |
出版者: | 泌尿器科紀要刊行会 |
誌名: | 泌尿器科紀要 |
巻: | 30 |
号: | 11 |
開始ページ: | 1543 |
終了ページ: | 1549 |
抄録: | 5例中4例は術後良好な移植腎機能を示したが1例は静脈吻合部縫合不全にて死亡した Renal autotransplantation has been a treatment of choice for renovascular hypertension, renal artery aneurysm, complicated staghorn calculi, ureteral disorders and others. The paper reports 5 cases of extensively damaged ureter and discusses the indication and the results of operation. There were three cases of postoperative extensive ureteral stricture. One patient had postoperative ureteral injury with retroperitoneal abscess. The last one showed renal foreign body calculi with recurrent pyelonephritis after ureterocutaneostomy. The postoperative course of four patients had been uneventful revealing well functioning autotransplanted kidneys without hydronephrosis and infection during the follow-up period of 22 to 42 months. However, the patient with the ureteral injury and retroperitoneal abscess died of bleeding from renal vein anastomosis on the 15th postoperative day, since the renal pedicle showed marked inflammatory change including renal vein wall. Subsequently, autotransplantation is contraindicated in the cases with marked inflammation in the renal pedicle. In cases of various other ureteral lesions including long distance ureteral stricture, this procedure is recommended when neither the end to side ureteral anastomosis, Boari's bladder flap operation nor bladder hitch operation is feasible. |
URI: | http://hdl.handle.net/2433/118337 |
PubMed ID: | 6397056 |
出現コレクション: | Vol.30 No.11 |
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