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Tytuł oryginału:
Reimplantation of ureters into the colon cap during sigmoidocystoplasty for treatment of vesicoureteric reflux associated with neurogenic bladder: long-term outcome.
Autorzy:
Yamataka
Atsuyuki,
Wang
Kun,
Ohshiro
Kiyohiko,
Lane
Geoffrey J.,
Gamal
Alsagheer,
Miyano
Takeshi
Źródło:
Surg. Childh. Int. 2002: 10 (1) s.6-9, il., bibliogr. 6 poz.
Sygnatura GBL:
313,040
Hasła klasyfikacyjne GBL:
pediatria
chirurgia
urologia
Typ dokumentu:
praca kliniczna
tytuł obcojęzyczny
Wskaźnik treści:
ludzie
dzieci 2-5 r.ż.
dzieci 6-12 r.ż.
dzieci 13-18 r.ż.
płeć męska
płeć żeńska
Streszczenie angielskie:
The authors present the long-term outcome of reimplantation of ureters into the colon cap (RUCC) during sigmoidocystoplasty (SCP) for the treatment of vesicoureteric reflux (VUR) associated with neurogenic bladder. A retrospective review of thirteen patients with VUR associated with neurogenic bladder (24 ureters) that had RUCC during SCP at our institution was dne. Mean age at surgery was 10.9 yrs (range: 2.1 - 16.4 yrs). Mean follow-up period is 11.5 yrs (range: 5.3 - 16.3 yrs). Severrity of VUR was grade V in 4/24 ureters, grade IV in 12/24, grade III in 4/24, and grade II in 4/24. RUCC was performed into the taenia coli located in the anterior wall of the colon cap in 11/13 patients, and into the posterior wall of the colon cap in 2/13. The average length of the submucosal tunnel created during reimplantation was 23.0 mm. Excisional tapering of the ureter was performed in six ureters, and folding of the ureter in three. Postoperataive complications encountered were vesicoureteric junction stenosis, vesical calculi, and sponttaneous bladder perforation. Renal scarring that progressed to chronic renal faailure developed post-SCP in two patients. There has been no recurrence of VUR. RUCC during SCP is successful and should be actively considered when there is VUR associated with neurogenic bladder and the bladder wall is unsuitable for conventional reimplantation.
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