输尿管异物处理的挑战-临床简介及文献回顾

Ayun Kotokai Cassell III, M. Jalloh, M. Mbodji, A. Diallo, M. Ndoye, Y. Diallo, I. Labou, L. Niang, S. Gueye
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引用次数: 2

摘要

输尿管内异物不常见。大多数侵蚀异物的病例之前都要进行内窥镜或腹腔镜手术。对于大多数病例,输尿管镜检查、钬激光粉碎结痂或钙化的异物,然后用抓钳取出异物是最理想的结果。本文回顾了13例输尿管异物处理的文献,并比较了一名48岁女性患者在腹腔镜左半结肠切除术后,采用输尿管镜钬激光碎裂和抓钳取出成功处理输尿管近端金属夹的结果。
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Management Challenges of Ureteral Foreign Body- Clinical Vignette and Review of Literature
Foreign body in the ureter is not common. Most cases of eroded foreign body are preceded by an endoscopic or laparoscopic procedure. For most cases, ureteroscopy, holmium laser fragmentation of encrusted or calcified foreign body followed by extraction of foreign body using grasping forceps have provided optimal outcome. The literature review was conducted to assess the challenges in the management of ureteral foreign body in 13 case reports and compared the outcome using a clinical vignette of a 48-year-old female with metallic clip in the left proximal ureters following laparoscopic left hemicolectomy managed successfully with ureteroscopic holmium laser fragmentation and extraction with grasping forceps.
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