症例報告 結石治療後の尿管狭窄症に対する尿管鏡併用腹腔鏡下尿管尿管吻合術の経験

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  • 結石治療後の尿管狭窄症に対する尿管鏡併用腹腔鏡下尿管尿管吻合術の経験
  • ショウレイ ホウコク ケッセキ チリョウ ゴ ノ ニョウカン キョウサクショウ ニ タイスル ニョウカンキョウ ヘイヨウ フククウキョウ カ ニョウカン ニョウカン フンゴウジュツ ノ ケイケン

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Abstract

<p>  Ureterostenosis occurs as a rare complication of the treatment of urolithiasis. The usefulness of ureteral stent placement and various surgeries for this condition has been reported. However, ureteral stent placement often needs to be prolonged, and is frequently associated with complications and patient discomfort. In addition, our search of the literature found no studies comparing the results of various surgeries.</p><p>  In 3 patients, we performed concurrent ureteroscopic and laparoscopic ureteroureterostomy for ureterostenosis after ureterolithiasis treatment. The concomitant use of a ureteroscope enabled visualization of the site of stenosis, and we were able to achieve stent-free results in a single procedure. This procedure is considered to be useful for treating ureterostenosis after urolithiasis treatment. Our experience with these cases suggests the importance of consolidating this procedure in a larger number of patients and performing careful, long-term follow-up.</p>

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