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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2020.1
- 수록면
- 316 - 322 (7page)
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초록· 키워드
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Purpose: To report a single surgeon experience with one year follow-up after open ureteroplasty with buccal mucosa graft (OUBMG) in the rare situation of long segment proximal ureteral strictures. Materials and Methods: Four patients with long segment proximal ureteral stricture underwent OU-BMG between February and July 2017. Functional outcome was assessed by pre- and postoperative serum creatinine, ultrasound and renal scintigraphy as well as patient reported outcomes. Results: Four patients with an average stricture length of 4 cm underwent OU-BMG between February and July 2017. No major postoperative complications occurred. Retrograde uretero-pyelography 6 weeks postoperatively revealed a watertight anastomosis followed by immediate emptying of the renal pelvis and ureter in all four patients. Ureteroscopy at this time showed a wide lumen with well-vascularized pink mucosa. After a mean follow-up time of 12.5 (12–14) months, postoperative serum creatinine was unimpaired. Renal scintigraphy revealed no signs of renal obstruction. With regard to intraoral surgery, no difficulties with mouth opening or intraoral dryness or numbness were reported. Conclusions: For patients with long segment ureteral strictures OU-BMG is a safe technique with excellent surgical and functional outcomes. Hence, the application of this technique should be encouraged and regarded as one of the standard options in case of this rare problem.
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참고문헌 (21)
참고문헌 신청
Mauck RJ / 2011 / Central role of Boari bladder flap and downward nephropexy in upper ureteral reconstruction / J Urol 186:1345~1349
Bonfig R / 2004 / Ileal ureteric replacement in complex reconstruction of the urinary tract / BJU Int 93:575~580
Wotkowicz C / 2004 / Renal autotransplantation / BJU Int 93:253~257
Kocot A / 2017 / Long-term results of ileal ureteric replacement : a 25-year single-centre experience / BJU Int 120:273~279
Moghadamyeghaneh Z / 2017 / A nationwide analysis of kidney autotransplantation / Am Surg 83:162~169
Bonfig R / 2004 / Ileal ureteric replacement in complex reconstruction of the urinary tract / BJU Int 93:575~580
Wotkowicz C / 2004 / Renal autotransplantation / BJU Int 93:253~257
Kocot A / 2017 / Long-term results of ileal ureteric replacement : a 25-year single-centre experience / BJU Int 120:273~279
Moghadamyeghaneh Z / 2017 / A nationwide analysis of kidney autotransplantation / Am Surg 83:162~169
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