Efficacy analysis of primary repair of iatrogrnic long-segment ureteral injury by ileal ureteral replacement

doi:10.3877/cma.j.issn.1674-3253.2022.05.009

Abstract

Abstract:

Objective

To investigate the efficacy of ileal ureteral replacement in the treatement of iatrogenic long-segment ureteral injury during abdominal or pelvic surgery.

Methods

The clinical data of 10 patients with ileal ureteral replacement in the Sixth Affiliated Hospital of Sun Yat-sen University from September 2017 to February 2021 were retrospectively analyzed. All patients were followed up by clinic and telephone after surgery to get the information of postoperative complications and renal function. Clavien-dindo complication classification system was used to grade postoperative complications and analyze the results.

Results

All 10 cases were successfully operated in open surgery. The mean length of hospitalization was (30±12) days, the mean length of the replacement ileum was (14.5±1.6) cm, the median follow-up time was 6.5 (2, 14) months, and the serum creatinine value before surgery and after extubation was (116±100) μmol/L, (101±53) μmol/L. Postoperative complications (Grade I-II) were occurred in 5 patients.

Conclusion

Primary ileal ureteral replacement is an effective treatment for intraoperative iatrogenic long-segment ureteral injury, with satisfactory therapeutic effect.

Key words: Ileal ureteral replacement, Iatrogenic, Ureteral injury

Juntao Li, Lei Ye, Jianjian Wu, Qiang Guo, Bing Yao, Huajian Lai, Jiahui Mo, Dejuan Wang, Jianguang Qiu. Efficacy analysis of primary repair of iatrogrnic long-segment ureteral injury by ileal ureteral replacement[J]. Chinese Journal of Endourology(Electronic Edition), 2022, 16(05): 423-426.

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患者	年龄（岁）	性别	回肠肠段长度(cm)	支架留置时间(d)	随访时间(月)	术前肌酐值(μmol/L)	拔管后1个月肌酐(μmol/L)	术前尿白细胞(个/μl)	拔管后1个月尿白细胞(个/μl)
1	66	男	15	167	14	71	87	17	299
2	81	男	14	40	2	392	243	2	531
3	59	男	15	110	14	74	72	4	88
4	70	男	16	39	4	68	70	1	107
5	62	女	12	7	2	133	106	-	128
6	47	女	15	37	9	93	97	0	606
7	53	男	14	80	43	74	83	1	131
8	27	女	15	30	10	52	57	26	45
9	61	男	17	40	2	121	113	8	59
10	48	男	12	111	4	78	80	90	113

患者	年龄（岁）	性别	回肠肠段长度(cm)	支架留置时间(d)	随访时间(月)	术前肌酐值(μmol/L)	拔管后1个月肌酐(μmol/L)	术前尿白细胞(个/μl)	拔管后1个月尿白细胞(个/μl)
1	66	男	15	167	14	71	87	17	299
2	81	男	14	40	2	392	243	2	531
3	59	男	15	110	14	74	72	4	88
4	70	男	16	39	4	68	70	1	107
5	62	女	12	7	2	133	106	-	128
6	47	女	15	37	9	93	97	0	606
7	53	男	14	80	43	74	83	1	131
8	27	女	15	30	10	52	57	26	45
9	61	男	17	40	2	121	113	8	59
10	48	男	12	111	4	78	80	90	113

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