[Technical features of intestinal ureteroplasty. Part 2: right-sided ileoureteroplasty].

Autor:	Komyakov BK; Department of Urology, I.I. Mechnikov North-Western State Medical University.; Multidisciplinary City Hospital 2, Department of Urology., Guliev BG; Department of Urology, I.I. Mechnikov North-Western State Medical University.; Multidisciplinary City Hospital 2, Department of Urology., Ochelenko VA; Department of Urology, I.I. Mechnikov North-Western State Medical University.; Multidisciplinary City Hospital 2, Department of Urology., Al-Attar TK; Department of Urology, I.I. Mechnikov North-Western State Medical University.; Multidisciplinary City Hospital 2, Department of Urology., Mkhanna KM; Department of Urology, I.I. Mechnikov North-Western State Medical University.; Multidisciplinary City Hospital 2, Department of Urology., Gaziev AK; Department of Urology, I.I. Mechnikov North-Western State Medical University.; Multidisciplinary City Hospital 2, Department of Urology.
Jazyk:	ruština
Zdroj:	Urologiia (Moscow, Russia : 1999) [Urologiia] 2016 Aug (3), pp. 4-9.
Abstrakt:	Aim: To present the results of intestinal ureteroplasty and technical features of right-sided ileoureteroplasty. Material and Methods: From 2001 to 2015, 78 patients underwent isolated reconstruction of the ureter using a segment of the ileum, of whom 57 (73%) and 21 (27%) patients had unilateral and bilateral operation, respectively. In total, isolated segments of the ileum were used to substitute 101 ureters including 45 (44.6%) right ureters. Results: The follow-up period ranged from 3 months to 14 years (mean 8.3 +/- 0.8 years). Early postoperative complications occurred in 8 (10.2%) patients and 5 (6.4%) of them required reoperation. Long-term postoperative complications occurred in 7 (8.9%) patients and 4 required surgical treatment. All patients had good results of conservative treatment and reoperations. There were no deaths. All patients achieved restoration of urodynamics and normalization of kidney function. Conclusion: Right-sided, especially total, ileoureteroplasty is the most technically challenging among other possible options to substitute the ureter with a small bowel segment. To avoid mesenteric torsion when performing isoperistaltic ureteroplasty, the graft should be placed above and in front of the intestinal anastomosis.
Databáze:	MEDLINE
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