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Chinese Journal of Endourology(Electronic Edition) ›› 2022, Vol. 16 ›› Issue (06): 559-562. doi: 10.3877/cma.j.issn.1674-3253.2022.06.015

• Cases Researches • Previous Articles     Next Articles

Application of detubularized appendicoureteroplasty in the treatment of complex ureteral stricture

Xiaochun Yang1, Hongyan Wei2, Haiyang Li1, Xiangxiang Zhang1, Nengqin Luo1, Yang Liu1, Lijun Guo1, Wenbo Nian3,()   

  1. 1. Department of Urology ,Gansu Provincial People's Hospital, Lanzhou 730000, China
    2. Department of Urology, Qingshui County People's Hospital, Qingshui 741499, China
    3. Department of Urology, the First People's Hospital of Huating, Pingliang 744100, China
  • Received:2021-04-13 Online:2022-12-01 Published:2022-11-25
  • Contact: Wenbo Nian

Abstract:

Objective

To investigate the application of appendix in the treatment of complex ureteral stricture, and summarize the experiences and techniques of detubularized appendiceal flap in the treatment of complex ureteral stricture.

Methods

From January 2019 to October 2020, 2 patients with long-segment complex ureteral stricture underwent laparoscopic and open detubularized appendiceal flap capping ureteroplasty under general anesthesia. Intraoperative blood loss, operation time, hospital stay and postoperative recovery were recorded, and the surgical results were analyzed and summarized.

Results

The operations were both successfully completed, the time was 125 min and 95 min, and the postoperative hospital stay was 8 days and 11 days, respectively. Postoperative color Doppler ultrasound and IVP examination showed that right hydronephrosis was relieved, and the patients' discomfort symptoms disappeared.

Conclusion

Detubularized appendiceal flap capping ureteroplasty for complex ureteral stricture is relatively simple and has few complications, which is worth popularizing.

Key words: Detubularized appendix, Onlay repair, Ureteroplasty, Ureteral stricture

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