Three cases of open surgical procedures on ileal conduits for the repair of benign ureteroenteric anastomotic strictures after total pelvic exenteration of rectal tumors.

IF 0.9 4区医学 Q4 MEDICINE, RESEARCH & EXPERIMENTAL Nagoya Journal of Medical Science Pub Date : 2023-11-01 DOI:10.18999/nagjms.85.4.836

Koji Komori, Takashi Kinoshita, Yusuke Sato, Akira Ouchi, Seiji Ito, Tetsuya Abe, Kazunari Misawa, Yuichi Ito, Seiji Natsume, Eiji Higaki, Tomonari Asano, Masataka Okuno, Hironori Fujieda, Satoshi Oki, Tsukasa Aritake, Kakeru Tawada, Satoru Akaza, Hisahumi Saito, Kiyoshi Narita, Hiroki Kawabata, Yasuhiro Shimizu

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Abstract

Ureteroenteric anastomotic strictures (UEAS) are typical complications after creating an ileal conduit for total pelvic exenteration (TPE) of rectal tumors. We report the ileal conduit for reconstruction in three patients, in the age-range of 47-73 years. Case 1 was when a left-sided UEAS had sufficient length of ureter for anastomosis, Case 2 was a right-sided UEAS with sufficient length of ureter for anastomosis, and Case 3 was a left-sided UEAS with insufficient length of ureter for anastomosis. There were no complications after operation and no recurrence of UEAS. It is important to learn the open surgical procedures for repair of a benign UEAS after TPE of rectal cancers. This has fewer complications and is safe in the long term.

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三例直肠肿瘤全盆腔外翻术后回肠导管开放手术修复良性输尿管肠吻合口狭窄的病例。

输尿管肠吻合口狭窄（UEAS）是直肠肿瘤全盆腔外展术（TPE）中建立回肠导管后的典型并发症。我们报告了三名年龄在 47-73 岁之间的患者的回肠导管重建情况。病例 1 是左侧 UEAS，有足够的输尿管长度进行吻合；病例 2 是右侧 UEAS，有足够的输尿管长度进行吻合；病例 3 是左侧 UEAS，输尿管长度不够进行吻合。术后无并发症，UEAS 也未复发。学习直肠癌 TPE 术后良性 UEAS 的开放手术修补术非常重要。这种手术并发症较少，而且从长远来看是安全的。

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来源期刊

Nagoya Journal of Medical Science MEDICINE, RESEARCH & EXPERIMENTAL-

CiteScore

1.30

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： The Journal publishes original papers in the areas of medical science and its related fields. Reviews, symposium reports, short communications, notes, case reports, hypothesis papers, medical image at a glance, video and announcements are also accepted. Manuscripts should be in English. It is recommended that an English check of the manuscript by a competent and knowledgeable native speaker be completed before submission.